Small Enough to Give the Personal Touch Diversified Evaluation Network, Inc.

1. Small Enough to Give the Personal TouchDiversified Evaluation Network, Inc. Toll Free: (888) 239-2125 Fax: (248) 359-6203 Independent Medical Evaluation IME Physicians Large Enough to Handle All Your Medical Needs

2. Diversified Evaluation Network, Inc Diversified Evaluation Network, Inc. (DEN) provides Independent Medical Evaluations (IMEs) by Board Certified Physicians that determine medical necessity and appropriateness of treatment. DEN physicians assess injury and disability claims to help claim professionals manage their claims by ensuring that appropriate and quality treatment is being rendered.

3. DEN, Inc. MISSION To provide quality, professional services in a cost-effective timely manner.

4. IME Medical Record Review Functional Capacity Evaluation Diagnostic Testing Coordination Translator Services Transportation Coordination Competitive Rates Prompt Scheduling Cite Letter Review of Physician Report to determine that information requested by Account is addressed Prompt Reporting DEN, Inc. Services

5. What Sets Us APART • Multi-Specialty Evaluations • Prompt Scheduling of Appointments • Customized Services • Prompt IME Appointment Notification (claimant, adjuster, employer, attorney) • Quality Assurance Review • Claimants evaluated by physicians currently practicing within their specialty

6. Provider Credentialing Standard DEN, Inc., standard is to maintain a credentialed file for ALL providers whom we refer our IMEs and second opinions.

7. Physician Credentialing Process The following is obtained: • Copy of State License • Copy of DEA License (if applicable) • Proof of Malpractice Coverage • Board Certification Certificate (s) • Curriculum Vitae • Signed W-9 Credentialing is updated yearly

8. Request for IME Request for IME Request for IME Request for IME IME Coordinator reviews information with account and determine appropriate physician Request for IME IME Coordinator reviews information with account and determine appropriate physician IME Coordinator reviews information with account and determine appropriate physician IME Coordinator reviews information with account and determine appropriate physician Schedule appointment IME Coordinator reviews information with account and determine appropriate physician Schedule appointment Schedule appointment CC Letter to account within 24 hours of the scheduled Appointment. Letter developed and sent within 24 hours to notify claimant of schedule appointment Schedule appointment CC Letter to account within 24 hours of the scheduled Appointment. Letter developed and sent within 24 hours to notify claimant of schedule appointment Schedule appointment CC Letter to account within 24 hours of the scheduled Appointment. Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment CC Letter to account within 24 hours of the scheduled Appointment. Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment CC Letter to account within 24 hours of the scheduled Appointment. Letter to Attorney when appropriate Letter developed and sent within 24 hours to notify claimant of schedule appointment Letter to Attorney when appropriate Letter to Attorney when appropriate Contact client to discuss Appointment with transportation needs Contact client to discuss Appointment with transportation needs Contact client to discuss Appointment with transportation needs Contact client to discuss Appointment with transportation needs Contact client to discuss Appointment with transportation needs Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Coordinate obtaining all medical records and diagnostic films and reports to be delivered to appointment physician. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. Follow-up with physician, claimant and transportation service to confirm scheduled appointment 24 hours prior. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. On the day of appointment confirm with physician office that the claimant did attend. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. On the day of appointment confirm with physician office that the claimant did attend. If claimant does not attend appointment contact immediately to determine reason. Contact account to advise of missed appointment. Reschedule per instructions. On the day of appointment confirm with physician office that the claimant did attend. On the day of appointment confirm with physician office that the claimant did attend. On the day of appointment confirm with physician office that the claimant did attend. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and e-mail update to account. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and e-mail update to account. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and e-mail update to account. Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and e-mail update to account. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited Contact physician to obtain verbal or fax results of IME upon completion of appointment. Determine when written report will be submitted with all information to office and e-mail update to account. i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Obtain written report and review to determine that all information requested by account is addressed i f report does not meet guidelines and criteria as outline by account, the report is return to the physician to be edited If report meets all guidelines and criteria as outline, report is submitted to account Obtain written report and review to determine that all information requested by account is addressed If report meets all guidelines and criteria as outline, report is submitted to account Obtain written report and review to determine that all information requested by account is addressed Obtain written report and review to determine that all information requested by account is addressed Obtain written report and review to determine that all information requested by account is addressed

9. DEN STAFF Is dedicated to providing you with the highest quality of service in the industry. We pride ourselves on obtaining accurate, objective reports that answer your questions in a timely manner.

10. Diversified Evaluation Network, Inc.25915 W 10 Mile RdSouthfield, MI 48034Phone:(248) 354-2125Fax:(248) 359-6203