Workers' Comp + Auto Liability Tracker
CaseFlow tracks every adjuster call, IME, lien, and fee schedule — so your orthopedic or spine practice gets paid what it's owed on workers' comp and auto liability claims.
Enterprise tools ignore it. Your WC coordinator is tracking it in a spreadsheet. Meanwhile:
What CaseFlow Does
From intake through lien settlement — CaseFlow connects WC claim status directly to your surgical schedule, cancellation risk, and daily operations brief.
Drag claims through Intake → Awaiting Auth → Auth Approved → IME Scheduled → Surgery Cleared → Lien Filed → Paid/Settled. Color-coded by days-stuck so nothing falls through.
Track avg days-to-authorize, denial rate, and IME frequency per adjuster and carrier. Surface "bad actor" adjusters who consistently slow-walk your cases — before surgery day.
Daily email chase to adjusters on open claims >5 business days — state-specific templates, CC to your WC coordinator. No more manual follow-up calls.
Seeded with 2025 WC fee schedules for CA, TX, FL, NY, PA, OH, GA, NC, IL, WA — top 20 ortho/spine CPT codes. Know if a carrier is underpaying before you accept the check.
Log scheduled date, IME physician, and outcome. CaseFlow auto-advances claim status after IME outcome is received, and flags IME-dependent cases in your daily brief.
Track lien filed date, attorney contact, settlement negotiation status, and expected payout date. Total open lien exposure visible at a glance.
WC auth still open at T-7d? +35 pts to cancellation risk score. Auth cleared? −12 pts. Your at-risk dashboard surfaces WC-blocked cases automatically.
Every morning: "WC/Auto: 3 cases awaiting auth >5 days, 1 IME this week, $14,600 in open liens." Your ops lead sees it before opening Outlook.
Live Demo
Fee Schedule Reference
Seeded with 2025 WC allowed amounts for the 10 highest-volume WC states. Look up any CPT code before authorizing a case.
| CPT Code | Procedure | WC Allowed (Non-Facility) |
|---|---|---|
| 27447 | Total Knee Arthroplasty | $7,200 |
| 27130 | Total Hip Arthroplasty | $8,100 |
| 22612 | Lumbar Fusion — 1 Level | $9,500 |
| 29827 | Shoulder Arthroscopy + Rotator Cuff Repair | $4,200 |
| 63047 | Lumbar Laminectomy | $5,400 |
| 22551 | ACDF — 1 Level | $8,800 |
10 states available: CA, TX, FL, NY, PA, OH, GA, NC, IL, WA. Additional states + procedure codes on request.
ROI Calculator
Ortho/spine practices with 25–35% WC volume and no structured tracking often miss $50K–$200K/yr in recoverable reimbursement.
Based on avg case value × underpayment rate × 12 months. Industry average underpayment: 10–20% of WC fee schedule.
Book a demo to see your numbers →Built for
Workplace injury → WC claim → OR slot → lien recovery. All tracked without a phone call to your WC coordinator.
MVA patients are 60%+ of cervical spine volume. Auto liability + lien management built for PI attorneys who move slowly.
On-field injury → employer WC → adjuster slow-walk → IME. CaseFlow auto-chases every step so the athlete gets to the OR on schedule.
Competitive Differentiation
Enterprise messaging platforms were built for commercial insurance. Workers' comp and auto liability — with their adjuster calls, IMEs, and liens — are a blind spot every ortho and spine practice manages manually. Until now.
See full feature comparison →Takes 20 minutes to load your WC/auto pipeline. Demo includes real adjuster chase and fee schedule lookup.
Book a 20-minute demo →