10ly for Case Managers & Adjusters in Workers' Compensation

AI-powered provider matching, rapid access to care, and continuous recovery insights for Nurse Case Managers and Claims Adjusters.

The Biggest Problems Faced by Nurse Case Managers

Nurse Case Managers are responsible for coordinating care, but they often have limited visibility into what is happening between appointments.

Delayed Access to Care

Injured workers may wait days or weeks for an evaluation, increasing pain, disability, and claim duration. 10ly delivers 24–48 hour AI-assisted triage and rapid scheduling with participating providers.

Limited Clinical Visibility

NCMs often receive clinic notes every 2–4 weeks with no objective view of daily progress. 10ly provides continuous monitoring through pain scores, functional scores, and AI-guided rehabilitation insights.

Is Treatment Working?

10ly presents standardized outcome trends — pain reduction, functional improvement, return-to-work progress, and rehabilitation adherence — to support more objective clinical discussions.

Unnecessary Surgical Escalation

Many workers progress toward injections or surgery before conservative care is fully optimized. 10ly identifies plateauing recovery and opportunities for intensified conservative management earlier.

Poor Communication

Workers' compensation involves many parties — worker, physician, therapist, employer, adjuster, and attorney. 10ly functions as a centralized communication platform with role-based access and notifications.

Return-to-Work Planning

10ly combines functional measures with clinical assessments to support return-to-work planning — determining readiness, identifying restrictions, and predicting recovery timelines.

Major Problems Faced by Adjusters

Adjusters focus on claim cost, duration, documentation, and appropriate utilization.

Claims Stay Open Too Long

Longer claims increase costs due to delayed care, missed appointments, poor follow-up, and lack of coordination. 10ly AI identifies delays early and helps coordinate timely care.

Escalating Medical Costs

Costs increase through repeated imaging, specialist referrals, injections, surgery, and chronic opioid use. 10ly supports earlier conservative management and tracks objective recovery to inform decisions.

Lack of Objective Progress Measures

10ly generates standardized progress dashboards showing trends in function and recovery — answering the question adjusters ask most: "How do we know this patient is improving?"

Missed Appointments

Every missed visit may prolong recovery. 10ly can automate reminders, rescheduling, and engagement to keep injured workers on track throughout their care journey.

Prioritizing High-Risk Claims

Adjusters may oversee hundreds of claims. 10ly prioritizes cases using AI-generated risk scores based on clinical and operational factors, focusing attention where it is most needed.

"Helping Injured Workers Recover Faster Starts Here."

FOR NURSE CASE MANAGERS & CLAIMS ADJUSTERS

Helping Injured Workers Recover Faster Starts Here

AI-powered provider matching, rapid access to care, and continuous recovery insights for Nurse Case Managers and Claims Adjusters.

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