Rising Medical Solutions operates as a national managed care firm based in Chicago, IL, specializing in medical cost containment and care management services. The company serves the workers' compensation, auto, liability, and group health markets. Its client roster spans insurance carriers, third-party administrators, self-insured employers, and public-sector entities ranging from small organizations to large tier enterprises. Since its founding in 1999, the firm has reported saving billions in claim costs and impacting hundreds of thousands of employee lives across the United States.
The organization offers a comprehensive suite of services extending beyond standard bill repricing. Its flagship bill review technology consistently achieves over 60% in national savings through fee schedule application, network discounts, nurse audits, provider negotiations, and fraud detection. The proprietary VISION™ platform stands out as a multi-product, multi-line enterprise system allowing single-sign-on access for claims professionals. This tool supports ancillary referral and medical management capabilities throughout the entire care continuum, from early intervention to payment processing.
In addition to operational services, Rising Medical Solutions directs the annual Workers' Compensation Benchmarking Study. Launched in 2013, this research program analyzes complex forces affecting claims management and has become a frequently cited publication in the industry. The company continues to support the sector through various articles, webinars, and conference presentations derived from this data.
