PFHO Company Profile and Key Details

Pacific Health Care Organization, Inc. (PFHO), along with its various subsidiaries, specializes in providing targeted managed care services for workers' compensation throughout the United States. The company serves a wide array of clients, including self-insured businesses, insurance companies, third-party claims administrators, local government entities, and other industries. PFHO is responsible for the administration of Health Care Organizations (HCOs) and Medical Provider Networks (MPNs). For its California-based customers, it also brokers contractual agreements to set up specialized workers' compensation carve-out programs. Beyond these core functions, the firm furnishes comprehensive HCO, MPN, and medical case management programs. It further supplies a full suite of claims-related services, encompassing utilization reviews, medical bill auditing, ongoing medical case management, assistance with lien representation, legal guidance, and Medicare set-aside arrangements. Established in 1970, the organization initially operated under the name Clear Air, Inc., before adopting its current designation, Pacific Health Care Organization, Inc., in January 2001. Its corporate base is situated in Newport Beach, California.