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Frequently Asked Questions

Everything claims, TPA, and risk leaders ask before their first DemandPro pilot.

What is demand package review?

Demand package review is the evaluation of the medical bills, records, and narrative an injured claimant submits to support a settlement demand. DemandPro reviews that package against jurisdiction-specific fee schedules and clinical evidence to identify improper coding, unrelated treatment, and inflated charges — giving adjusters a defensible basis for negotiation.

How is DemandPro different from a standard bill review?

A standard bill review checks charges against fee schedules. DemandPro adds a second tier: an expert nurse clinical review that assesses causality, medical necessity, and unrelated treatment. That clinical layer is what turns a price check into a defensible, court-ready settlement position.

Who is DemandPro for?

Insurance carriers, third-party administrators (TPAs), and self-insured employers handling third-party liability and bodily injury claims. Carriers reduce settlement severity without adding headcount; TPAs add a certified review layer to differentiate their offering; self-insureds get carrier-grade clinical expertise without an enterprise budget.

Do I have to change my claims system to use DemandPro?

No. DemandPro integrates with your existing RMIS and delivers settlement-ready packages through your current workflow. There is no platform migration.

How does pricing work?

DemandPro is priced per claim — no enterprise contract and no long-term lock-in. Most clients start with a pilot to prove the results on their own claims, then scale on a simple per-claim basis.

What do I receive for each claim?

A complete settlement-ready package: a proprietary medical treatment calendar, line-by-line bill analysis with recommended adjustments, chronologically organized records, a comprehensive nurse audit report, a targeted negotiation strategy, and a complete time-stamped audit trail — all court-ready.

Are reviews defensible if a claim goes to litigation?

Yes. Every review is conducted by certified coders and nurses and documented to a court-ready standard, with clearly cited clinical findings — built to hold up if a claim proceeds to litigation.

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