The Pyxidis Group delivers specialized services through our affiliate companies to mitigate risks, control costs, and create savings for employers who elect an alternative solution to conventional workers compensation insurance. Simply stated, our mission is to guide our client partners more safely through the perils of occupational accidents.
We not only deliver alternative claim solutions for Texas non-subscribers and Oklahoma Option employers, we also provide innovative solutions for many facets of the claims process, from the first report of injury to the safe return-to-work.
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Strategic Management
We integrate a pro-active claims process with disability management, cost containment and claims investigations to deliver remarkable savings to our client employers. Our innovative solutions are accomplished by strategically partnering our clients’ experienced claims adjusters with a team of professionals to provide healthcare, case management, specialty bill review, medical transportation, SIU, private investigations, and litigation support.
Specialty Bill Review
The fees for healthcare services delivered to injured workers covered by an ERISA-based insurance program are not subject to the pricing standards established by the worker’s compensation fee schedule. MedCost Contain utilizes a patented audit process that includes automated bill scrubbing software to analyze routine low-cost services and a manual review process for more complex and costly procedures.
Medical Services
Our network of healthcare providers is a group of physicians and providers of other healthcare services specializing in treating patients with occupational injuries. We provide a team-based healthcare delivery model focused on the needs of injured workers and their safe return-to-work. Our network of healthcare professionals is dedicated to providing coordinated and managed services that are accessible, patient-centered, continuous, and comprehensive.
SIU Services
The Intel Agency provides SIU services to help us contain costs, manage investigations, and assure the legitimacy of claims. Pyxidis Group SIU uses claims analytics to identify pre-selected patterns and criteria to identify claims with a higher probability for fraud or malingering. Pyxidis Group's SIU programs help to identify questionable claims quickly and monitor them closely.
Nurse Case Management
Sanarte, a nurse case management company, enhances our claims management process by coordinating the delivery of appropriate healthcare and managing an outcomes based return-to-work plan. Our experienced nurse case managers advocate for timely and cost-effective results that serve to benefit both our client employers and their injured workers. Sanarte Case Management helps us achieve a swift and safe return-to-work outcome.
Private Investigations
P.I. Solutions has worked exclusively in the investigation of insurance claims since 1997. Our adjusters have access to their nationwide panel of experienced private investigators with expertise in every aspect of claims investigations, including AOE/COE, Recorded Interviews, and Surveillance. When the need arises for investigative services, P.I. Solutions helps us optimize the claim settlement process.
Medical Transportation
Prompt healthcare is essential to an effective treatment plan. MedTransCo has a team of professional drivers dedicated to ensuring no injured worker is denied access to medical care for transportation reasons. Our safe and courteous drivers can accommodate the needs of any injured employee to and from any destination. Additionally, they will communicate with our nurse case managers to make certain no patient arrives to a medical appointment unattended.
Litigation Services
We make every effort to avoid the expense of litigation services by settling our claims fairly and swiftly. However, when necessity dictates, our legal panel can be relied upon to facilitate the claim settlement process or fully defend our client employers at trial. Our attorneys are experts in defending claims against non-subscriber employers.