The present invention relates to a method and system for enhanced medical
triage in managed care plans that streamlines the conventional medical
triage process and referral logic, sends only those insurance claims to
an integrated case management system that require medical intervention,
matches claims to the right resource at the right time, reduces the time
needed to review lost time cases, lessens the number of unnecessary
referrals or re-referrals, and further tailors the assignment process of
medical insurance claims to medical personnel based on specific market
and/or employer dedication.