Home - Nexus
Time 2022-09-29 19:25:43Web Name: Home - Nexus
WebSite: http://www.nexmc.com
ID:333916
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Skip to content Top barTargeting Better Healthcare Outcomes
For a decade, Nexus has optimized the clinical review process for insurers, third-party administrators, brokers, consultants, attorneys, and employers.
Connect with NexusWorkers’ Compensation
Ensuring workers receive proper care to return to work rapidly.
Read MoreGroup Health
Ensuring members receive quality, medically necessary care.
Read MoreAuto/General Liability
Accurate reviews of liability claims for evidence-based decisions.
Read MoreDisability
Our goal is returning the claimant to work as quickly as possible.
Read MoreLegal
We address every aspect of a medical claim for an accurate review.
Read MoreThe Leader in Independent Clinical Review and Utilization Management
Nexus is the industry’s leading national independent clinical review and utilization management organization. Our focus is building long term, value-added relationships with our clients by providing access to quality, outcome-focused clinical expertise and innovative solutions.
For mitigating unrelated medical exposure, improving claims processing efficiency, and ensuring claimants receive excellent care on the way back to health, more companies are turning to Nexus for help. We offer one of the largest, most robust physician networks in the industry, backed by a proven technology platform delivering faster, accurate, defensible results.
Helping you focus on Resolutions instead of process.
Our problem-solving solutions get quality results you can rely on.
Connect with NexusEfficiency
Every aspect of our platform has been designed for efficiency. When information flows through a system quickly and accurately, claimants receive quality, timely care with better outcomes, reducing overall medical spend.
Our Services
Innovation
Our proprietary, scalable platform adapts to any risk management and claims processing model and workflow. Our suite of solutions integrates seamlessly, aligning to unique process, technology, and reporting requirements.
Our Vision
Quality
Challenging regulatory environments demand a stellar compliance approach. We keep our platform in sync with all URAC framework updates, and HIPAA compliance is the utmost priority for our team, reviewers, and clients.
Compliance
Results
Accurate, evidence-based decisions result from an established, highly trained panel of physician experts. We capture quality at each step, connecting it to each outcome for workers’ comp and claims management programs.
Physicians
Latest News
March 2, 2021Nexus Enterprises Announces Promotion of Rocio Van der Aa to Assistant Vice President, Operations
Schertz, Texas, March 2, 2021 – Nexus Enterprises, the nation’s leading Independent Clinical Review and Utilization Management organization, today announced the promotion of Rocio Van der Aa from Executive Director, Client Services to Assistant Vice President, Operations. Rocio has served with Nexus since 2019 and brings to the team over 20 years of clinical/healthcare experience.…
READ MOREMarch 4, 2020Nexus Certified as Service-Connected Disabled Veteran Owned Business (SDVOB)
New Braunfels, TX, March 4, 2020 – Nexus, a Texas-based clinical review organization, has been awarded the prestigious Service-Connected Disabled Veteran Owned Business (SDVOB) Certification by the National Veteran Business Development Council. Veteran focused Diversity Spending Programs are an $80 billion-dollar market in the United States. As the leading certification agency, NVBDC is a…
READ MOREOctober 25, 2019Nexus to Participate in Compliance & Ethics Week 2019
Nexus Enterprises, LLC specializes in providing Utilization Management and clinical review services to the Workers Compensation and healthcare industry. We are delighted to once again participate in Corporate Compliance & Ethics Week with a kick-off breakfast for all staff to meet and greet with the Nexus Privacy and Security Compliance Officers. During the week…
READ MOREInnovating Clinical Review and Utilization Management
We can show you how our expertise, network, and platform can help.
Connect with NexusURAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. By achieving this status, Nexus has demonstrated a comprehensive commitment to quality care, improved processes and better patient outcomes.
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