National IME and medical review services.

Integral's coordinators manage the operational details around each referral so adjusters can focus on managing claims rather than chasing vendors. Each file is owned end-to-end, with proactive communication and verified document handling.

• Dedicated coordinator assigned to each file — every call answered by a person
• Same-day or next-day responsiveness on referrals, status requests, and questions
• Proactive re-exam reminders so claims stay on schedule without adjuster follow-up
• No-show communication and rescheduling handled end-to-end
• Report tracking, distribution per jurisdiction requirements, and addendum coordination
• Records, authorizations, and diagnostic studies obtained from treating facilities

Operational standards that apply across IME, peer review, record review, and specialty review work — regardless of jurisdiction or line of coverage.

• Secure online referral and encrypted record submission
• Physician matching by jurisdiction, specialty, and case requirements
• Appointment scheduling, confirmation calls, and reminder communications
• Claimant transportation coordination, upon request
• Interpretation services in a wide range of languages, upon request
• Rush appointments and rush record / peer reviews when deadlines are tight
• Scheduling with specific consulting physicians at the adjuster's request — including off-panel providers
• Radiology and neuroradiology independent reviews
• Record reviews and Functional Capacity Evaluations (FCEs)
• Testimony scheduling and coordination with defense counsel
• No-show notifications, re-exam reminders, and addendum tracking
• Document control with verification that distributed reports are received and filed correctly

Pharmaceutical and pain management record reviews are conducted by Pain Management physicians and completed in accordance with evidence-based pain management treatment guidelines, with attention to whether a claimant's use of pain medications is appropriate and safe.

Reviews may include discussion of Morphine Equivalent Dosages, weaning schedules, generic equivalents, and other relevant clinical issues. Supporting medical evidence can be appended, and rush turnaround is available when deadlines require.

Integral supports compliance with state-specific Workers' Compensation regulations covering physician authorization and utilization, appointment notification, and report distribution. Procedures are adjusted by jurisdiction and monitored for regulatory change.

Multi-specialty scheduling, deadline-driven communication, and proactive re-exam handling for No-Fault caseloads — built around the practical realities of carrier and TPA workflow.

• Appointment scheduling typically 10–14 days from the date of request
• Multi-specialty scheduling in a single location to reduce claimant burden
• Multi-specialty physicians scheduled where appropriate to reduce overall cost
• Same-day notification of double no-shows
• Jurisdiction-specific peer review and statutory form preparation
• Re-examination reminders managed for the adjuster

Coordination with defense counsel and plaintiff counsel, records and authorization handling, and examination timing aligned to litigation milestones.

• Plaintiff attorney contact prior to scheduling
• Authorizations obtained from plaintiff attorneys and records / diagnostic studies obtained from treating facilities
• Defense attorney copied on correspondence and IME reports upon request
• Examinations diaried to take place after EBTs when requested, with follow-up to confirm completion
• Testimony scheduling and coordination with defense counsel