Comprehensive Third-Party Demand Package Review

Third-Party Liability Claims — Resolved.

Defensible medical bill audits. Expert nurse clinical review. Clear negotiation strategy — seamlessly integrated into your existing claims management workflow.

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100%RMIS Integration
2-TierExpert Review
CourtReady Analysis
Demand Package Review
Active Review
I
Medical Bill Audit
Certified coders · Jurisdiction-specific fee schedules · NCCI edits
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II
Expert Nurse Clinical Review
Causality analysis · Medical necessity · Negotiation strategy
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Defensible Settlement Package
Delivered via your RMIS · Court-ready documentation
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The Problem We Solve

Manual Review Is Costing You Money

Rising bodily injury settlements, complex medical records, and limited adjuster time leave significant savings on the table — claim after claim.

Claims professional reviewing documents
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Rising Settlement Severity

Bodily injury severity and settlement amounts continue to increase year over year, creating mounting pressure on claims programs.

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Time-Consuming Manual Review

Slow, inconsistent demand package review leaves adjusters overwhelmed and significant cost savings uncaptured on every claim.

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Limited Clinical Expertise

Without certified medical analysis, adjusters lack the defensible clinical documentation needed to negotiate fair settlements with confidence.

The DemandPro Approach

A Comprehensive Two-Tier Review Process

All reviews conducted by certified coders and nurses — ensuring consistent, defensible, court-ready analysis, claim after claim.

I
Tier I

Medical Bill Audit

Certified coders review every bill against jurisdiction-specific fee schedules, flagging improper coding, unbundling, and excessive charges across all bill types.

Inpatient & outpatient billing review
Diagnostic & prescription audit
NCCI coding edits applied
Unbundling & excessive charge identification
II
Tier II

Expert Nurse Clinical Review

Certified nurses analyze causality, identify unrelated treatments, assess medical necessity, and deliver clear, actionable negotiation recommendations.

Causality & relatedness analysis
Unrelated treatment identification
Medical necessity assessment
Defensible clinical documentation
The Seamless Automated Workflow
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100% RMIS Integration
Syncs directly with your existing claims management system
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Proprietary Package Assembly
Medical records organized chronologically into adjuster-ready digital packages
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Complete Audit Trail
Full visibility with time-stamped documentation for every review step
Why DemandPro

Built for Insurers, TPAs & Self-Insureds Who Demand More

Consistent. Certified. Court-ready. Every review delivered to the same rigorous standard.

Reduce settlements
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Reduce Settlements

Expert review identifies unrelated treatments and overbilling to measurably reduce settlement amounts. Stop leaving money on the table with every claim.

Defensible settlements
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Defensible Settlements

Negotiate with confidence using clinically defensible documentation that reduces litigation risk. Every package is court-ready from day one.

Save adjuster time
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Save Adjuster Time

Pre-organized, expert-reviewed packages save hours of manual review time per claim — freeing your adjusters to focus on resolution, not administration.

Faster resolution
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Faster Resolution

Streamlined, integrated workflow accelerates demand package processing from receipt to settlement. Close claims faster with greater confidence.

What You Get With Every Review

A Complete Settlement-Ready Package

Everything your adjusters need to negotiate confidently — organized, documented, and delivered through your RMIS.

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Proprietary Medical Treatment Calendar
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Line-by-line bill analysis with recommended adjustments
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Chronologically organized medical records
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Causality & treatment relatedness analysis
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Comprehensive Nurse Audit Report
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Targeted negotiation strategy & key settlement points
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Identification of missing or essential documentation
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Complete time-stamped audit trail
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Defensible, court-ready clinical documentation
Product Overview
Comprehensive Third-Party Demand Package Review & Settlement Preparation
Tier I — Medical Bill Audit
Tier II — Expert Nurse Clinical Review
Negotiation Strategy & Settlement Points
100% RMIS Integration
Court-Ready Clinical Documentation
Consistent. Certified. Court-ready.
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Free
Product Overview

Download the DemandPro Tear Sheet

Everything you need to understand DemandPro — in one concise, shareable document. Perfect for internal review, vendor evaluation, or sharing with your claims leadership team.

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The full two-tier review process — how Tier I bill auditing and Tier II nurse clinical review work together to deliver defensible settlements.
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Complete deliverables breakdown — every report and document included in your settlement-ready package.
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Technology & integration overview — how DemandPro plugs seamlessly into your existing RMIS and claims workflow.
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Key value propositions — reduced settlements, defensible documentation, saved adjuster time, and faster claim resolution.
Download the Tear Sheet
PDF · 1 page · No form required
Get Started

Ready to Transform Your Claims Program?

Contact us today to learn how DemandPro can strengthen your liability claims program and deliver measurable results.

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Email
info@claimdemandpro.com
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Web
www.claimdemandpro.com
Request a Demo
Fill out the form and our team will reach out within one business day.