What We Offer

Every service. Every stage of the claim.

From the moment an injury occurs through final settlement — Atlas Managed Care is built to support every step of the California workers' comp lifecycle.

01

Triage

TRG

Triage is the most important intervention in workers' compensation — and it happens before an injury is ever officially reported as an indemnity claim. Early, proactive triage connects an injured worker with the right care at the right time, reducing claim severity, preventing unnecessary escalation, and setting the entire trajectory of the claim toward a faster, better outcome.

The difference between a medical-only claim and a costly indemnity claim is often decided in the first 24 to 48 hours. Atlas Managed Care's triage service ensures those critical hours work in your favor.

What We Deliver

  • Immediate post-injury contact and injury assessment
  • Direction to appropriate level of care
  • Early intervention to prevent claim escalation
  • Communication to employer and claims team from day one
  • Documentation of injury status before indemnity designation
02

Medical Provider Network

MPN

Once a claim is underway, directing the injured worker to the right provider is one of the most consequential decisions in the entire process. Atlas Managed Care's Medical Provider Network gives employers the control and infrastructure to do exactly that — connecting injured workers to a curated network of California providers with demonstrated workers' comp expertise and appropriate cost profiles.

A well-run MPN doesn't just save money — it produces better clinical outcomes by ensuring injured workers are treated by physicians who understand return-to-work as a goal, not an afterthought.

What We Deliver

  • Curated network of workers' comp-experienced California providers
  • Employer control over medical treatment direction
  • Network administration and ongoing management
  • DWC-compliant MPN documentation and employee notices
  • Provider credentialing and performance monitoring
03

Employee Advocacy

EA

An injured worker who feels heard and supported is more likely to engage with their treatment plan, return to work sooner, and trust the process. Atlas Managed Care's employee advocacy service puts a knowledgeable, compassionate resource in the worker's corner — helping them navigate their rights, understand their treatment plan, and stay connected with their employer and claims team throughout recovery.

This isn't a hotline. It's a relationship — built on genuine concern for the person at the center of every claim.

What We Deliver

  • Dedicated point of contact for each injured worker
  • Navigation of the California workers' comp system
  • Care access support and appointment coordination
  • Clear communication between worker, employer, and claims team
  • Return-to-work facilitation and follow-through
04

Nurse Case Management

NCM

Our nurse case management program pairs injured workers with credentialed registered nurses who coordinate all aspects of their medical care. From initial assessment through return to work, our NCMs monitor treatment progress, facilitate communication between all parties, and ensure that the recommended plan of care is both clinically appropriate and cost-effective.

Clinical rigor and genuine human attention — not one at the expense of the other.

What We Deliver

  • Credentialed RNs with workers' comp expertise
  • Field and telephonic case management options
  • Treatment plan monitoring and physician coordination
  • Return-to-work planning and progress tracking
  • Proactive communication to all stakeholders
05

Utilization Review

UR

Utilization Review ensures that treatment recommendations are medically necessary and evidence-based — before, during, and after care is rendered. Atlas Managed Care's UR program is built around clinical rigor, regulatory compliance, and timely decisions that keep claims moving without compromising quality of care.

Our UR process adheres to California DWC regulations and evidence-based medical treatment guidelines, delivering consistent, defensible determinations on every request.

What We Deliver

  • Prospective, concurrent, and retrospective review
  • California DWC-compliant processes and documentation
  • Evidence-based treatment guideline application
  • Timely determinations that keep claims on track
  • Clear, defensible clinical rationale on every decision
06

Medical Bill Review

MBR

Medical billing is one of the most overlooked cost drivers in workers' compensation — and one of the most vulnerable to error and abuse. Atlas Managed Care's Medical Bill Review program applies rigorous, technology-assisted review to every bill, identifying discrepancies, verifying fee schedule compliance under California DWC guidelines, and surfacing savings that other reviewers miss.

Our process is transparent, our reporting is detailed, and our pricing is straightforward — so you always know exactly what you're getting.

What We Deliver

  • Fee schedule verification under California DWC guidelines
  • Duplicate billing and unbundling detection
  • Rapid turnaround with detailed audit reporting
  • Transparent per-bill pricing with no hidden fees
  • Ongoing provider billing pattern analysis
07

Medicare Set-Aside

MSA

For claimants age 65 and older approaching settlement, Medicare's interests must be carefully protected — or the consequences can follow the injured worker and the employer for years after a claim closes. Atlas Managed Care's MSA program provides professional allocation services, CMS submission support, and ongoing compliance guidance to protect all parties and bring claims to a clean, defensible resolution.

What We Deliver

  • Professional MSA allocation and documentation
  • CMS submission and approval coordination
  • Post-settlement compliance support
  • Protection for employer, carrier, and claimant at settlement
  • Specialized experience with claimants 65 and older

For Employers

Maximum control. Simplified.

Atlas Managed Care provides effective workers' compensation cost containment services for California employers and claims administrators. Our programs are built to reduce medical claim costs while simplifying the process — giving you maximum oversight without the administrative burden.

We work with self-insured employers, insurance carriers, and third-party administrators who demand a managed care partner accountable for results — not just activity.

For Injured Workers

You don't have to navigate this alone.

California law entitles injured workers to appropriate medical treatment. Atlas Managed Care is here to make sure you receive the care you need, understand your options, and are never left to navigate a complicated system without support.

From finding a provider to understanding your treatment plan, we are in your corner from the first call to the final resolution.

Let's talk about your program.

Every workers' comp program is different. We'd like to understand yours before we tell you what we can do for it.

Contact Us