New Jersey Auto Pre-Certification Client Resources

Carisk Imaging, formerly ATLANTIC Imaging Group, LLC (ATLANTIC) is a Diagnostic Radiology Network primarily servicing the Personal Injury and Workers Compensation market and is the only company in the country to pre-fund its claims within 72 hours of receipt of the claim.

Carisk Clearinghouse provides national electronic billing and remittance capabilities for providers and payers.

Contigo Health, LLC, a consolidated subsidiary of Premier, Inc., is leading the way to financially sustainable healthcare. Contigo Health is a health benefits platform that leads direct-to-employer and direct-to-provider relationships. It is relentlessly focused on revolutionizing healthcare through appropriate, cost-effective, transparent, and thoughtful benefits design. Contigo Health® products includes ConfigureNet™, a network with over 900,000 network providers across 4.1 million U.S. locations, Sync Health Plan TPA, Payvider Activation, and Centers of Excellence 360. To learn more, please visit www.contigohealth.com and follow us on LinkedIn, YouTube and Twitter

Horizon Casualty Services, Inc. (HCS) is an affiliate of Horizon Blue Cross Blue Shield of New Jersey. The Company has been in business since 1994 and is a leading PPO in the New Jersey Workers’ Compensation and Personal Injury Protection market. The company’s 100% direct-contracted provider network produces significant overall savings for our clients. With its deep focus on precision, HCS provides an extremely low WC appeals rate of 0.2% and PIP appeals rate of 0.4%. Our Healthcare Value Strategy and Outcomes Focused Network (OFN) enables our clients to be the best at delivering quality medical care to claimants at the right cost.

Magnacare’s casualty solutions help employers, insurers, and third-party administrators (TPAs) achieve superior workers’ compensation and automobile casualty claim outcomes in New York, New Jersey, and Connecticut. Our solutions include our proprietary PPO networks, medical management solutions, and our innovative, proprietary pre-surgical negotiation and opioid management programs. Our vision is to transform the way casualty claims are handled to ensure both a reduction in total claim spend and a better outcome and experience for the claimant. 

With 2,300 participating hospitals, 97,000 ancillary facilities and 590,000 directly contracted practitioners, policyholders and eligible injured parties have access to a diverse selection of providers, including those with specialties that commonly treat automobile accidents.

https://workcompauto.optum.com/content/owca/owca/en/pharmacy-locator.htmlOptum® collaborates with workers’ compensation and auto no-fault clients to deliver value beyond transactional savings while helping ensure claimants receive safe and effective clinical care. Our innovative and comprehensive medical cost management programs include pharmacy benefit management, ancillary benefit management, managed care services and settlement solutions.

The Prime Health Services preferred provider network consists of over 600,000 physicians, ancillary services, and hospitals with medical providers in all 50 states providing first-party auto PPO care.

Procura Management is an operating company of Optum.

Triton Healthcare Partners creates unique network solutions for industry partners targeting specific claims populations.  Leveraging years of experience and data analytics, Triton will quantify utilization, then qualify provider access to enhance network provider selection.