Pacific Health Care Organization, Inc.

Pacific Health Care Organization, Inc. specializes in workers' compensation cost containment, primarily serving employers and claims administrators in California. The company, originally incorporated in Utah in April 1970 as Clear Air, Inc., adopted its current name in January 2001. In February 2001, it acquired Medex, a California corporation established in March 1994, which manages and administers Health Care Organizations (HCOs) and Medical Provider Networks (MPNs) in California, and provides workers' compensation carve-out and Medicare set-aside services. The company's wholly owned subsidiary, MMC, incorporated in Nevada in March 2011, manages utilization review and bill review services. Another wholly owned subsidiary, MMM, incorporated in Nevada in February 2012, oversees medical case management and employee advocate services. The company discontinued lien representation services in the third quarter of 2023 due to lack of demand. Pacific Health Care Organization offers integrated business solutions to help customers manage workers' compensation-related healthcare administration costs. Its services aim to reduce medical claims expenses by ensuring timely medical treatment, thereby reducing claim duration and treatment costs, and include providing access to its HCOs and MPNs.