PCMS is a leading provider of cloud-based core enterprise software solutions specifically engineered for the Property and Casualty (P&C) insurance industry. For over 25 years, PCMS has empowered small to mid-sized Carriers and Managing General Agents (MGAs) with Atlas™, a comprehensive, all-in-one Software-as-a-Service (SaaS) platform designed to manage the entire insurance lifecycle. Is Your Tech an Engine or an Anchor? Oversimplified software often creates an “Invisible Anchor,” forcing your team to act as a manual bridge for system gaps. If you’re delaying launches because your system “can’t handle the logic,” you are managing a limitation, not a platform. Visit Booth 1105 to see how Atlas™ replaces technical debt with operational resilience through unified data and modular agility.
Paradigm
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business, including its risk-based clinical solutions, case management services, high-value specialty networks, home health, and payment integrity programs. Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com. | Paradigm makes the world’s most advanced satcom, made simple. Our range of secure, rapid deploy, low-SWaP terminals are field-proven by military, special forces, government, intelligence agencies and NGOs. With all terminals powered by the PIM®, the world’s easiest-to-use satcom controller, everything needed for effective satellite communication is managed through a simple user interface. Embedded PIM technology provides network diversity, edge computing, and Artificial Intelligence, to transform agile, secure comms. Certified for use on all major satellite networks, the PIM can operate as part of Paradigm’s own VSAT range or be integrated to offer common operation across existing terminals and antennas. | Paradigm delivers unparalleled production and asset integrity solutions to the energy industry. From precise pipeline diagnostics on the location of a stuck PIG, removing flow assurance deposits from a geometrically complex riser-flowline system, or improving oil recovery from subsea wells – we have the technology and the expertise that delivers.
Origami Risk
Origami Risk provides integrated SaaS solutions that simplify risk, insurance, compliance, and safety management. Origami delivers its highly configurable RMIS, GRC, EHS, and healthcare risk management solutions from a secure, scalable platform that includes tools for centralizing data, automating critical workflows, and providing insights into risk and safety initiatives. A singular focus on client success underlies Origami’s approach to developing, implementing, and supporting their innovative, award-winning software. Visit origamirisk.com to learn more. | Origami Risk empowers leaders in insurance, risk, and safety with a purpose-built, cloud-native platform that optimizes workflows for better data, better insights, and better collaboration. Through highly configurable solutions integrated on a single platform, Origami Risk supports the management of the full lifecycle of risk, from prevention to recovery — helping the experts reduce harm and loss, and respond more rapidly and effectively when it happens. Grounded in continuous innovation and a foundational focus on client success, Origami Risk is trusted by leading organizations to enable greater resilience as they build for the future. For more information, visit origamirisk.com
Opus Medical
Opus Medical delivers a high-touch, collaborative concierge approach to medical case management. Our tailored solutions ensure that every injured worker receives the care they need, while employers and payors benefit from cost-effective and efficient processes. Opus Medical is the only physician-led case management company in the nation. Opus Medical delivers personalized case management services that match the level of clinical oversight to the specific needs and severity of each injury. Through compassionate advocacy, evidence-based practices, and collaborative coordination, we strive to support injured individuals, empower stakeholders, and drive better outcomes. Our unique integration of clinical expertise and advanced technology provides measurable results, making us the trusted partner for organizations seeking to control costs and improve worker recovery. Faster Recovery: Early diagnosis and efficient treatment paths. Better Outcomes: Less downtime and cost by cutting unnecessary medical spend. Higher Worker Satisfaction: Trust through transparency and empathy. Evidence-Based Efficiency: Every decision backed by data.
National Medical Reviews
NMR has conducted healthcare peer reviews and related services since 1996 and has been continuously URAC accredited as an Independent Review Organization since 2003. It presently holds a Certificate of Full Accreditation under URAC for compliance with the Independent Review Organization: Comprehensive Review (Internal & External) Accreditation Program. NMR receives over 100,000 reviews annually, including utilization reviews, disability, medical claim disputes, and billing dispute resolutions. Our review experience spans the continuum of care, including hospital inpatient and outpatient, behavioral health, home and community-based, ambulatory surgery centers, and long-term care. We also conduct review s addressing categories, such as medical necessity, experimental/investigational, disability verifications, administrative/contract, diagnosis-related group (DRG)/coding validations, billing accuracy, quality of care and fraud, waste & abuse. NMR has extensive experience in providing medical claim review services. NMR performs binding independent claim dispute resolution via state and federal agencies’ contracts and/or certifications. NMR performs binding Independence External Appeal reviews for self-funded private industry business clients nationwide, pursuant to the Federal External Review Process under the Patient Protection and Affordable Care Act. Additionally, NMR is certified/contracted to perform these same binding independent External Appeals through state insurance and health departments as an IRO for the state. NMR was one of the first five companies to be certified as an Independent Dispute Resolution Entity by CMS and the Departments of Labor, Treasury and Health and Human Services to conduct billing dispute resolution reviews under the No Surprises Act. In addition to the contracts and scope of work listed above, NMR assists the Department of Justice, the Office of the Inspector General, and other clients on quality-of-care reviews. NMR’s goal is to assist our clients in improving the healthcare system by detecting potential Fraud, Waste, and Abuse. NMR utilizes the services of certified coders, case management, contract specialists, and/or clinical professionals to conduct these reviews, which may include Medical Necessity Documentation Review, Claim Bundling/Unbundling, Inpatient Stay Audits, Outpatient Facility Audits, CPT code validation, DRG Validation Services and Claims Reimbursement Analysis.
MD Guidelines
MDGuidelines helps employers, insurers, and healthcare practitioners with content that unites all stakeholders across the continuum of care in the pursuit of better outcomes, happier and healthier patients, and a stronger bottom line. By ensuring the consistent application of tested-and-proven guidelines, treatments, and recovery timeframes, MDGuidelines promotes the delivery of high quality, value-based care grounded in medical evidence.