Reasonable & Necessary

Is each medication related to the compensable injury?

The most important question on every personal injury claim. AllMeds scores every medication against the injury to determine if it's directly related, possibly related, or unrelated. Stop approving medications that aren't connected to the claim.

AllMeds - Injury Relatedness Report
Injury: Lumbar spine injury (L4/L5 disc herniation)
Oxycodone 10mg
Opioid analgesic for acute spinal pain
Directly related
Pregabalin 75mg
Neuropathic pain from nerve compression
Directly related
Diazepam 5mg
Muscle relaxant, but duration exceeds guidelines
Possibly related
Atorvastatin 20mg
Cholesterol management, pre-existing condition
Not related

How AllMeds determines injury relatedness

The key question answered

Every insurer, case manager, and scheme operator needs to know: is this medication reasonable and necessary for the compensable injury? AllMeds answers this for every medication on the claim.

Scored, not guessed

Each medication is scored against the specific injury type using clinical evidence. Directly related, possibly related, or not related - with the reasoning explained.

Reduce unnecessary spend

Stop approving medications that aren't connected to the injury. Identify pre-existing conditions and unrelated prescriptions before they become long-tail costs.

Who needs injury relatedness scoring

Case managers

Reviewing medication claims for injury relatedness - know which medications are compensable and which need further review.

Insurers

Auditing whether medications are compensable across workers compensation, CTP, and personal injury portfolios.

Rehab providers

Assessing whether medications support or hinder recovery, and flagging unrelated prescriptions that may complicate return-to-work plans.

See injury relatedness scoring on your own case

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