Services / Peer Review  





What sets Crossland apart from others in the Peer Review process?

Crossland provides peer review service that has proven to be both cost-effective and reliable.

Peer Review reports are highly decisive based on medical practice standards, confirmed medial rational and citing of literature when applicable. All reviews are performed by certified physicians in their respective field of medicine.We match the treating specialty to a peer reviewers specialty, checking certification of any given treating provider to be sure that we provide doctors with equal qualifications as those providing the services in question.

Medical necessity, treatment and injury verification are among some of the differences in issues pertinent to the peer / file review. Understanding, knowledge and experience in insurance language and policy provisions provide for a definitive report that outlines all issues pertinent to the particular type of coverage.

Turnaround time can be a crucial part of the peer management process. Crossland’s expeditious internal process allows the reviewing physician’s report to get back to the insurance company with time to spare for internal processing. Requested 24 hour and same day service can be accommodated.

Crossland maintains a vast panel of physicians with diverse backgrounds in each specialty, qualifying them for record / peer reviews. 

Crossland’s Peer Review doctors maintain current practices with proficiency in the procedures / services under review. The physicians are chosen based on their certification, field of practice, knowledge and experience in the area of services under examination.

File reviews can often provide the insurer or defense attorney a good grasp in understanding a reported medical claim. A physician can review the proposed treatment plan / treatment records, past / subsequent medical history, diagnostic test results, accident photos, accident reconstruction analysis and EUO reports providing a comprehensive insight to the claim.