CPR Risk Management, Inc.’s Insurance and Medical Risk Solutions

CPR provides an independent assessment of medical risk for stop loss and fully insured products. CPR can work as the only resource for risk projections or can provide backup to clients with nursing staff to cover sick days and overflow during the busy times of the year. Due to the size of our blocks of business, we have credible data. CPR has national clients, so able to identify trends and costs more so than a single entity with only their information. Our nurses are trained in both medical cost projections and insurance.

CPR provides reserve assessments. The reserves are entered directly into the client’s system and updated as requested by the client.

We offer medical review services prospectively and retrospectively when a medical service or claim requires review for appropriateness by CPR’s Medical Director. These services can be utilized to determine if a treatment is experimental or investigational, off-label usage of medications, the standard of care, and many other types of treatment or claim evaluations, including peer-to-peer reviews.

Notices are sent to CPR and reviewed by our nurses, providing important feedback to our clients for claimants of concern.