Small Enough to Give the Personal Touch Diversified Evaluation Network, Inc. Toll Free: (888) Fax: (248) Independent Medical Evaluation IME Physicians Large Enough to Handle All Your Medical Needs

Diversified Evaluation Network, Inc Diversified Evaluation Network, Inc. (DEN) provides Independent Medical Evaluations (IMEs) by Board Certified Physicians that determine medical necessity and appropriateness of treatment. DEN physicians assess injury and disability claims to help claim professionals manage their claims by ensuring that appropriate and quality treatment is being rendered.

DEN, Inc. MISSION To provide quality, professional services in a cost-effective timely manner.

DEN, Inc. Services IME Medical Record Review Functional Capacity Evaluation Diagnostic Testing Coordination Translator Services Transportation Coordination Competitive Rates Prompt Scheduling Cite Letter Review of Physician Report to determine that information requested by Account is addressed Prompt Reporting

What Sets Us APART Multi-Specialty Evaluations Prompt Scheduling of Appointments Customized Services Prompt IME Appointment Notification (claimant, adjuster, employer, attorney) Quality Assurance Review Claimants evaluated by physicians currently practicing within their specialty

Provider Credentialing Standard DEN, Inc., standard is to maintain a credentialed file for ALL providers whom we refer our IMEs and second opinions.

Physician Credentialing Process The following is obtained: Copy of State License Copy of DEA License (if applicable) Proof of Malpractice Coverage Board Certification Certificate (s) Curriculum Vitae Signed W-9 Credentialing is updated yearly

Request for IME IME Coordinator reviews information with account and determine appropriate physician Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Obtain written report and review to determine that all information requested by account is addressed CC Letter to account within 24 hours of the scheduled Appointment. Schedule appointment Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and update to account. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Request for IME IME Coordinator reviews information with account and determine appropriate physician Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Obtain written report and review to determine that all information requested by account is addressed CC Letter to account within 24 hours of the scheduled Appointment. Schedule appointment Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and update to account. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Request for IME IME Coordinator reviews information with account and determine appropriate physician Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Obtain written report and review to determine that all information requested by account is addressed CC Letter to account within 24 hours of the scheduled Appointment. Schedule appointment Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and update to account. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Request for IME IME Coordinator reviews information with account and determine appropriate physician Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Obtain written report and review to determine that all information requested by account is addressed CC Letter to account within 24 hours of the scheduled Appointment. Schedule appointment Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and update to account. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Request for IME IME Coordinator reviews information with account and determine appropriate physician Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Obtain written report and review to determine that all information requested by account is addressed CC Letter to account within 24 hours of the scheduled Appointment. Schedule appointment Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and update to account. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Request for IME Schedule Appointment Cite Letter within 24 hours claimant, attorney (s), account Contact claimant re: Transportation needs Obtain medical records and diagnostics films Follow up with physician/claimant to confirm appointment 24 hours Confirm claimants attendance of appointment Obtain/review report to determine that all information is addressed Report does not meet criteria it is returned To physician for corrections Report meets criteria report is Forwarded to account IME Coordinator reviews information With Account Determine appropriate physician

DEN STAFF Is dedicated to providing you with the highest quality of service in the industry. We pride ourselves on obtaining accurate, objective reports that answer your questions in a timely manner.

Diversified Evaluation Network, Inc W 10 Mile Rd Southfield, MI Phone:(248) Fax:(248)