SOLUTIONS | CASUALTY | WORKERS’ COMPENSATION | MANAGED CARE

Provider benchmarking

Our five-star provider benchmarking and search tool helps ensure quality care for employees.

A provider speaking with a man.

What we do

Sedgwick’s online provider search tool, a key element in our benchmarking program, enables clients and colleagues to identify providers who achieve the most successful claims outcomes. When we help injured employees obtain their initial treatments from medical providers who consistently demonstrate quality outcomes, the entire claim process and all parties involved benefit.

 

Our claims data warehouse is the largest in the industry and more than two million claims are analyzed in our scoring model. To determine the provider’s score, the system reviews several variables focused on cost, duration, litigation, recidivism and disability days. The tool was created in collaboration with examiners and end users, and includes PPO network participation, state-by-state quality care solutions, customizable options and many innovative features that enhance the services we bring to clients.

Our provider search tool works hand in hand with our benchmarking program to control costs and drive positive results.

Why choose Sedgwick?

  • When possible, injured employees are matched with local providers with the highest scores
  • Using consolidated provider data, the system identifies the specialty for peer-to-peer scoring and links providers to claims treated
  • Our provider search tool includes electronic medical cards that help examiners and nurses quickly share information with employees, such as details on providers, and instructions for accessing pharmacy benefits
Coworkers having a meeting in a conference room.