For TPAs · Carriers · Managed Care · Self-Insured Employers
Capture every appointment and conversation, draft the documentation automatically, and coordinate the whole claim — so your team handles more claims without adding headcount.
The problem
Adjusters, nurses, providers, employers, and claimants coordinate by phone, email, and fax across systems that don't talk.
Quality is capped by headcount. When claim volume rises, the only lever is hiring — and the talent isn't there.
Every appointment and status change is written up manually — slow, inconsistent, and easy to lose.
The workflow gap
By automating the coordination layer, MACS lets you give meaningful support to the claims that never justified a dedicated person — improving outcomes without expanding the team.
Sources: Enlyte (≈10% of U.S. workers' comp claims use a nurse case manager); National Safety Council, Injury Facts (2024).
The MACS solution
Your team stays in control: a case manager reviews and approves AI output — it never goes unchecked to the injured worker.
Voice, appointments, messages, and documents — with per-state consent.
AI extracts diagnoses, work status, meds, and next actions into claim data.
Summaries and updates routed to adjuster, employer, provider, and claimant.
Follow-ups, reminders, and status updates run without manual effort.
The opportunity
Grounded in what coordination already delivers. Independent analysis puts nurse case management at roughly 8:1 ROI; digital workflows save 10–20% of medical cost. MACS extends that coordination to far more of your claims.
Modeled figures are targets, not guarantees, and are validated with you during a pilot against your own baseline. Anchors: Liberty Mutual (8:1 nurse-case-management ROI); Wisedocs (10–20% medical savings).
Built for the whole claim team
Book a pilot and we'll run real claims alongside your staff — measured against your own baseline, with results before any commitment.
Book a pilot
MACS