Your 24/7 AI Clinical Advisor for Faster, Accurate Workers' Comp Decisions
Automate case reviews, reduce delays, and improve treatment compliance with guideline-backed recommendations powered by MTUS, ACOEM, ODG, and your internal systems.
The Challenge: Workers' Comp
Decision-Making Takes Too Long
Current State
Utilization Review decisions take 5–14 days on average. Manual guideline lookups slow down every case. Inconsistent documentation creates friction between providers, UR teams, and risk management.
Rising costs and delayed return-to-work timelines impact everyone from injured workers wait longer, employers face higher expenses, and case managers struggle with mounting workloads.
The Solution
Caseology's AI Virtual Clinic Assistant cuts decision-making time from days to minutes. Get instant, guideline-backed recommendations that support appropriate care while maintaining compliance.
Our AI clinical advisor works 24/7 to provide the evidence you need exactly when you need it, reducing delays and improving outcomes across your entire Workers' Compensation program.
Guideline-Backed Clinical Intelligence at Your Fingertips
Minutes. Not Days
Automate case reviews and receive clinical recommendations in minutes instead of waiting days for manual reviews.
Complete Integration
Seamlessly connects with MTUS, ACOEM, ODG, job categories, and your internal systems for comprehensive analysis.
Clinical Precision
Works as a virtual clinical advisor supporting appropriate treatment decisions with evidence-based guidelines.
Custom Workflows
Fully customizable to your employer population with specific job descriptions and essential function data.
Caseology delivers the fastest way to simplify Workers' Comp decisions using guideline-backed recommendations. Our AI assistant provides clinical guidelines within minutes based on your specific case scenario, improving patient and employer satisfaction while promoting quicker recovery and reducing internal and external UR and case management costs.
Powerful Features Built for Workers' Compensation
All-Source Integration
Connects seamlessly to all your subscriptions including MTUS, ACOEM, ODG, and proprietary guideline sources for comprehensive coverage.
Intelligent Fast Case Management
Advanced fast support helps prioritize cases and identify urgent situations requiring immediate attention.
Work Restrictions Guidance
Provides clear, evidence-based work restrictions aligned with injury type, treatment stage, and recovery timeline.
Job-Specific RTW Plans
Generates return-to-work recommendations tailored to specific job descriptions and essential function requirements.
Organizational Requirements
Integrates your company's specific policies, job descriptions, and internal protocols into every recommendation.
Customizable Workflows
Adapt the system to match your unique processes, approval hierarchies, and documentation requirements.
How It Works: Three Simple Steps
01
Ask Your Case Scenario FAQs
Provide injure specifics such as age, job category/title, body part, case length, and current treatment. Next ask your questions. (No Patient identifier)
02
AI Analyzes Guidelines & Requirements
The system cross-references MTUS, ODG, ACOEM standards, and your company-specific data to build a comprehensive clinical picture aligned with best practices.
03
Receive Evidence-Based Recommendations
Get instant insights including appropriate work restrictions, return-to-work guidance, treatment pathways, and suggested next steps all backed by current guidelines.
Our streamlined workflow eliminates hours of manual research and reduces the cognitive load on your clinical team, allowing them to focus on complex cases requiring human expertise while the AI handles routine guideline lookups and documentation.
Benefits Designed for Your Role
For UR Nurses
Access evidence faster with instant guideline lookups. Ensure consistency across all reviews and maintain compliance with state-specific regulations effortlessly.
For Risk Managers
Lower overall program costs while improving return-to-work speed. Gain visibility into decision patterns and ensure consistent, defensible outcomes.
For Case Managers
Receive clearer work restrictions and eliminate delays in treatment authorization. Coordinate care more effectively with evidence-based pathways.
For Medical Providers
Simplify documentation requirements and navigate treatment approval pathways with clarity. Reduce administrative burden and focus on patient care.
Ready to Transform Clinical Decision-Making?
Join leading Workers' Compensation programs that are reducing review times, improving outcomes, and lowering costs with AI-powered clinical intelligence. Schedule a discovery call today to see how Caseology can work for your organization.
STILL NOT SURE?
Frequently Asked Questions
Does this replace clinical judgment?
No. Caseology serves as a clinical advisor providing guideline-backed recommendations. Final decisions remain with licensed medical professionals who apply their expertise and clinical judgment to each unique case.
Is the system HIPAA compliant?
Yes. We maintain strict HIPAA compliance with encrypted data transmission, secure storage, and comprehensive access controls. Your case information is protected at every step. No patient identifying required.
Can we customize based on employer needs?
Absolutely. The system integrates your specific job descriptions, essential functions, organizational policies, and return-to-work protocols to provide tailored recommendations for your workforce.
What guideline sources does it use?
Caseology connects to MTUS, ACOEM, ODG, and other major guideline sources. We can also integrate proprietary (job requirements/categories) or state-specific guidelines your organization uses.
How fast are the recommendations?
Most recommendations are generated within minutes of case input. Complex cases requiring multi-source analysis may take slightly longer but still deliver results the same day—far faster than traditional review processes.
Start Making Better Decisions Today
Discover how Caseology's AI Virtual Clinic Assistant can streamline your Workers' Compensation workflows, reduce delays, and improve clinical outcomes. Our team is ready to show you exactly how the platform works for your specific needs.