The Premier Workers’ Compensation Managed Care Program for Connecticut Public Entities

CIRMAcare is a comprehensive risk management program designed for municipalities, boards of education, and other local public agencies to control their workers’ compensation costs.

CIRMAcare integrates state-of-the-art claims administration with state-of-the-art medical disability management.

CIRMAcare is provided by an outstanding team consisting of CIRMA claims and risk control professionals as well as Coventry case management specialists. You’ll receive all the quality services you have come to expect from CIRMA, such as:

• Risk Management Workshops to help you prevent accidents and lower losses.
• Assistance with labor-management relations.
• Professional underwriting and policy services
• Medical bill review.
• Experienced claims administration.
• Loss control services.
• Risk management services.
• Expansive pharmacy program with no out-of-pocket costs.
• CLICK HERE to download the CCM-Coventry Partners in providing quality managed care Brochure (PDF)

For You The Employer —

• Claims professionals with over 400 years of combined experience.
• Timely and accurate reserving practices backed up by over $213m in investable assets and $50 million in members’ equity.
• Access to CIRMA’s Heart & Hypertension claims management program.
• Ten Concentra occupational health care centers, strategically located throughout Connecticut.
• Exclusive access to the Coventry Network—a statewide preferred provider network and the largest group of medical providers in Connecticut (over 10,000 medical providers).
• Highly specialized catastrophic nurse case management.
• Experienced telephonic and field nurse case managers.
• Specialized vocational rehabilitation and life care planning specialists.
• 24/7/365 claim reporting hotline — 1-800-OK-CIRMA (652-4762).
• State-of-the-art electronic provider and hospital bill review.
• Comprehensive prescription drug network.
• Cost containment diagnostic referral service.

For Your Injured Employee —

• Immediate access to quality medical treatment for on-the-job injuries.
• Prompt referral to specialists.
• Timely claims validation process.
• Coordinated efforts by nurse case managers and claim professionals to facilitate quality medical treatment and timely return to work.

What are the services provided by CIRMA?

Download the Full CIRMAcare Brochure CLICK HERE to Download the CIRMAcare Brochure (PDF Format)

Workers’ Compensation Claims Management —

• On-site claims validation process.
• Timely payment of indemnity and medical benefits.
• Appropriate filing of required state forms.
• Catastrophic claims escalation process.
• Litigation management.
• Aggressive reserve philosophy.
• Claims reviews.
• Unique and broad-based staff development program.

Workers’ Compensation Disability/Medical Management —

• Aggressive early intervention.
• Specialized case management.
• Utilization review.
• Physician advisor peer review.
• Return-to-work coordination.
• Preferred provider network (PPN).
• Independent medical exams.

For more information, please DOWNLOAD THE CIRMAcare BROCHURE or call CIRMA at (203) 498-3000

What is CIRMA’s Early Intervention Program?

The Services —

• 1-800-OK-CIRMA — A 24/7/365, toll-free, injury reporting hotline for supervisors to report work-related injuries or illness — immediately.
• Effective communication with the injured employee by CIRMA care professionals ensuring quality medical treatment and a timely return to work.
• Continuous communication with the treating physician, the claims administrator, and the employer to help coordinate recovery and an early return to work.
• Web-based provider look-up.

The Benefits—

• Reduce time lost from work.
• Create a supportive environment for the injured employee.
• Reduce loss costs through immediate referral to network physicians.
• Improve employee morale and increase productivity.

For more information, please DOWNLOAD THE CIRMAcare BROCHURE or call CIRMA at (203)946-3700

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