Behavioral Health & Neuropsychological Claims Review
Expert clinical review of complex behavioral health and neurocognitive disability claims – the cases where the record is ambiguous, the diagnosis is contested, or the functional picture is unclear.
Who It’s For
Disability insurers, TPAs, employers, workers’ compensation carriers managing complex or high-value behavioral health claims.
What We Review
- Psychiatric diagnoses – depression, anxiety, PTSD, personality disorders
- Neurocognitive impairment
- Psychotic disorders
- Substance use comorbidities
How It Works
Our clinician reviews the complete medical record, provides an assessment of diagnostic clarity, functional impairment, and treatment appropriateness, and recommends next steps – including return-to-work pathways and additional evaluation if warranted. We partner with Sequoia for efficient, streamlined records management.
The Outcome
A clear, defensible written determination that supports your claims decision.
Our reviewers don’t just confirm or deny – they explain the clinical picture and give your team actionable next steps.