Alliance Evaluation Services, LLC provides a range of services to meet the needs of the insurance claims industry: Independent Medical Examinations, Group Evaluations, Medical Records Reviews and Peer Reviews along with Second Surgical Opinions, Disability Evaluations, Psych Evaluations and Chiropractic Utilization Reviews.
Our purpose is to provide outstanding service and excellence by utilizing professionals in the medical field. These specialists consistently express their opinion with accuracy and objectiveness. Our quality assurance verifies that all reports are comprehensive and thorough prior to expediting the results with timely delivery to our clients.
AES follows the standards set forth by State Statutory regulations with regard to notifications and provides continued assurance of quality by reviewing all physician reports prior to delivery to verify all the issues of concern are addressed as requested.
Our Services Are The Best
Independent Medical Examinations (IME) provide a comprehensive evaluation and report to include the history, medical record review and physical examination of an individual’s injury or illness. They help to determine the causation, diagnosis, and the extent of medical treatment for the injury/illness. These examinations can establish whether a person has reached maximum benefit from treatment, if treatment is related, any recommended treatment plan and medication utilization. They can also help clarify working capability and whether any permanent impairment or disability remains or is anticipated as a result of the injury/illness.
Group/Panel Evaluations are similar to IMEs and offer our clients the convenience of having more than one medical specialist examine and review a claimant’s injury/condition. This process addresses multiple issues that may be part of a claim and allows the physicians to collaborate to provide a more comprehensive and thorough report. Used when multiple body parts, injuries or complex diagnoses require more than one medical specialist to address.
A comprehensive review and report on the medical records of an individual by a qualified medical specialist to determine the status of a person’s injury/illness. This can assist in determining necessary treatments, effectiveness of current treatment, or help address potential disability that may be part of the injury/illness.
A Peer Review provides a detailed report of an individual’s medical records. This is done by a qualified physician of the same medical specialty as the treating physician. Peer reviews provide an analysis of medical treatment guidelines and continuity of care within the parameters of physicians of the same educational and medical expertise.
Evaluations performed when there is a question if surgery is the best option for an injured party or if more conservative treatment should be rendered before surgical intervention is performed.
An Evaluation performed by a physician to determine the percentage of disability/impairment based on the allowed conditions in a claim. These ratings are in most cases determined according to the AMA Guides to the Evaluation of Permanent Impairment (6th Edition) or whatever standard is being utilized by State Regulation.
An Independent Psychological/Psychiatric Examination may be utilized to determine if an injury, illness or incident has caused or is causing a psychological condition which affects the claimant’s ability to recover or function. These evaluations can also help determine if a psychological condition is related to an injury or illness or if the condition already pre-exists and then determine how it is affecting the recovery or if it will affect the efficacy of a recommended treatment. In addition, they may be used to address extent of a psychological disability, potential Maximum Medical Improvement, anticipated length of temporary disability, necessity of treatment, recommended treatment plan and medication utilization.
Chiropractic Utilization Reviews are used to compare requests for chiropractic services to treatment guidelines that are deemed appropriate for such services. This includes the preparation of a recommendation based on that comparison. Utilization of medically accepted treatment/chiropractic guidelines are used by a licensed Chiropractor for the record reviews, treatment reviews, and all treatment recommendations.
Alliance Evaluation Services, LLC is a privately held company headquartered in Phoenix, Arizona. We provide insurance claims professionals, TPAs, attorneys, nurse case managers and other clients’ access to a comprehensive network of medical experts and professionals including physicians in all major specialties.
A partial list of specialties:
|Ear, Nose & Throat
||Physical Medicine &