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The SECOND OPINION ®

Medical-Legal Consultants Group Inc.

Medical Fraud Investigation

 

SERVICES THAT THE SECOND OPINION® MEDICAL-LEGAL CONSULTANTS GROUP INC. PROVIDES TO INSURANCE CLAIMS ADJUSTERS AND RISK MANAGERS:

  • FORENSIC FILE ANALYSIS for evidence of medical fraud, claimant’s lack of compliance with treatment, secondary gain, illicit and prescription drug abuse, family doctor switching,...
  • COST EFFECTIVENESS ANALYSIS for signs of improper or purposely prolonged treatment, suspicious prescribing patterns, inappropriate work restrictions, unnecessary diagnostics,...
  • BACKGROUND CHECK for hidden WSIB and disability claims, pre-accident medical problems,...
  • SETTLEMENT MEDIATION SERVICES during which a medical investigator conducts a forensic file analysis, a future cost care analysis, and a review of factums (case law, medical literature, etc.) supplied by each side. Then, a preliminary report is given to both the insurer and the claimant’s representative. A conference is held, either in person or by telephone, at which time all relevant issues are identified, all roadblocks are neutralized and a fair and equitable settlement is reached
  • CREDENTIALS CHECK OF PRACTITIONERS AND FACILITIES to confirm that they are properly qualified, equipped and have never been in any professional trouble
  • PUBLISHED ARTICLE SEARCH in order to find the specialist most qualified to counter a specific bogus diagnosis
  • DEFENSE STRATEGY SESSIONS during which counsel is prepared for discovery
  • ATTENDANCE AT DISCOVERY in order to help counsel direct their questioning
  • TREATMENT PLAN REVIEW SERVICES to ensure proper type, cost and duration of treatment

The SECOND OPINION® Medical-Legal Consultants Group Inc. is one of a kind. We have a 95% file closure rate within three months of being retained by insurance adjusters. We handle files throughout the entire world, quickly and professionally.

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