IMO Managed Care delivers the full suite of managed care services. Our clients include Nonsubscribers, Workers’ Compensation, General Liability, Group Health, Property and Casualty.
IMO utilizes a select medical network panel, credentialed and contracted in their specialty areas of expertise. We coordinate and conduct peer reviews, medical examinations, independent medical assessments and designated doctor coordination.
The IMO Med-Select Network® has been established since 2009. While serving various type of clients in the network arena, the scope of network delivery includes the Texas HCN/1305 Network, The Nonsubscriber Primary/Specialty Narrow Networks or the Inter-local 504 Network for public entities.
Industry Care Programs
IMO works hand-in-hand with employers to both prevent and manage occupational injuries. Our industry care programs embody the importance of human relations, health, wellness and safety.
The IMO Medical Bill Review team has extensive knowledge and experience. Our quality assurance process allows for reliable results for cost avoidance with all types of provider bills in a network and non-network environment. Our bill review interfaces with your claims, network contracts and utilization review. Our team work and results validate the reliability and success of a premier bill review service delivery.
Medical Case Management
IMO has a diverse group of case managers, credentialed and contracted. From telephonic, field, vocational and catastrophic, our case managers work closely with the employer, injured employee and the provider to ensure medical care is managed and not monitored.
Disability Management, TCM Early Intervention – E-Intelemed, Three-Point Contact (Employee, Provider, Employer)
IMO has a 20+ year history in managed care; a history first established in the nonsubscription market. We assist clients with provider panel customization and recognize the economic benefit of Work Injury, ERISA Plans, effective medical care and early intervention.
IMO is certified by the Texas Department of Insurance (TDI) as a Utilization Review Agent (URA) for all lines, including Workers’ Compensation, Provider Networks and Group Health. We follow URAC standards for Preauthorization and utilize Official Disability Guidelines for network and non-network best practices.
IMO Experience with Networks
IMO has the necessary expertise in the delivery of networks. From implementation to administration, we have demonstrated effective results the carrier can be confident with.
Return to Work
Working collaboratively with the employer at the onset of the injury is critical. IMO utilizes measurable tools and always encourages that safe and productive Return to Work benchmarks are met.
Quality Medical Care
We strive to provide intentional treatment care plans using evidence based guidelines such as the Official Disability Guidelines (ODG) and the Medical Disability Advisor (MDA).
IMO understands the importance of impacting through outcomes. The Division of Workers’ Compensation’s Performance Based Oversight (PBO) rates IMO clients at the high performing tier level.
Medical Case Manager
Each injured employee is assigned a Telephonic Case Manager and, if necessary, a Field Case Manager based on severity levels. Effective communication and prompt scheduling is guaranteed.