Opus Medical

What Opus Medical does

Opus Medical is a physician-led medical case management company serving the U.S. workers' compensation and Texas injury benefit (non-subscriber Option) markets. The company was officially launched in August 2025 through the merger of three established industry firms — Allegiant Managed Care, OccMD, and Corporate Remedies — and is legally organized as OccMD AMC Platform LLC, a Delaware LLC headquartered in Nashville, Tennessee. It employs approximately 200 clinical and administrative professionals and serves self-insured employers, third-party administrators, insurance carriers, adjusters, and physicians.

The company's product portfolio spans four service categories: Case Management (field, telephonic, vocational, catastrophic, and bilingual), Clinical Management (physician oversight, physician case review, RN record review, early medical assessments, and life care plans), Network Support (custom network design, 504/1305 network management, Texas non-subscriber network scheduling, IME, and peer review), and Value-Added Services (medical cost projection, Medicare set asides, legal file review, labor market surveys, and fee negotiation). Its core differentiator is Maestro, a proprietary care coordination process that adapts as cases evolve and fluidly shifts engagement between service levels — field case management, telephonic case management, and physician review — based on worker progress. The company also references a "CaseAnyplace" technology platform for case management operations, and claims self-reported client outcomes including a 95% recommendation rate and 88% improved claims readiness.

Opus Medical sells through a B2B enterprise sales motion led by a Chief Sales Officer and Chief Revenue Officer, with multi-year contracts and quote-based pricing. Care Coordinator-led onboarding (4-hour response SLA) and geographically assigned nurse case managers are central to the go-to-market, and the company has publicly stated plans to expand from its current 20+ U.S. states toward nationwide delivery. The company is privately held with no disclosed external funding and is led by CEO Ryan Tamborini, COO Josh Leyenson (previously at Council Capital), and CMO Dr. Melissa D. Tonn.

Name

Opus Medical

Legal name

OccMD AMC Platform LLC

Website

https://opusmedical.com

Company type

Private

Founded year

2025

Operating status

Operating

Headcount range

1–10 employees

Short description

Opus Medical is a physician-led medical case management company serving self-insured employers, third-party administrators, and insurance carriers across U.S. workers' compensation and Texas injury benefit programs, delivering field, telephonic, clinical, and network support services via its proprietary Maestro care coordination process.

Ownership category

akta.pro rank

Headquarters

HQ city

Kuringen

HQ country

Belgium

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Case Management Services: Fees for field case management, telephonic case management, vocational case management, catastrophic case management, and bilingual case management services provided to employers, TPAs, and insurance carriers.
2. Clinical Management Services: Revenue from physician oversight case management, physician case reviews, RN record reviews, early medical assessments, and life care plans.
3. Network Support Services: Fees for custom network design and support, 504 network management, non-subscriber network management, scheduling of ancillary services, IME, and peer review services.
4. Value-Added Services: Medical cost projection, Medicare set asides, legal file review, labor market surveys, and fee negotiation services.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Opus Medical provides physician-led medical case management and clinical management services for the U.S. workers' compensation system and Texas injury benefit programs. Its core offering combines four service lines (Case Management, Clinical Management, Network Support, and Value-Added Services) with the proprietary Maestro care coordination process, delivering in-person and telephonic nurse case management, physician oversight, network management, and cost-containment reviews to employers, TPAs, and insurance carriers.

Product overview

Opus Medical is a physician-led medical case management company offering a comprehensive suite of services for workers' compensation and Texas injury benefit programs. The company's platform centers on Maestro, a proprietary care coordination process that dynamically adapts service levels throughout each case. The portfolio includes four core service categories: Case Management (Field, Telephonic, Vocational, Catastrophic, and Bilingual Case Management); Clinical Management (Physician Oversight Case Management, Physician Case Review, RN Record Review, and Life Care Plans); Network Support (Custom Network Design, 504/1305 Network Management, Non Subscriber Network, IME, and Peer Review); and Value-Added Services (Medical Cost Projection, Medicare Set Asides, Legal File Review, Labor Market Surveys, and Fee Negotiation). Opus Medical serves employers, third-party administrators, insurance carriers, adjusters, and physicians across 20+ U.S. states.

Differentiator

Problem solved

Functional benefit

Products and services

• Maestro Proprietary, responsive care coordination process that adapts as each workers' compensation or Texas injury benefit case evolves, enabling fluid shifting between field case management, telephonic case management, and physician review. Designed for individualized care, faster recovery, and smarter cost management, and used as the operational backbone of Opus Medical's enterprise engagements.
• Case Management Services Top-level B2B service line encompassing field case management, telephonic case management, vocational case management, catastrophic case management, and bilingual case management for self-insured employers, TPAs, and insurance carriers across the United States.
• Clinical Management Services Top-level B2B service line delivering physician-led oversight case management, physician case review, RN record review, and comprehensive life care plans for complex workers' compensation and liability claims.
• Network Support Services Top-level B2B service line providing clinically differentiated network design and management for workers' compensation and Texas Option programs, including custom network design and support, 504/1305 network management, non-subscriber network management, scheduling of ancillary services, independent medical examinations (IME), and peer review.
• Value-Added Services Top-level B2B service line of supplementary medical-management offerings including medical cost projection, Medicare set asides, legal file review, labor market surveys, and fee negotiation to support financial planning, settlement compliance, litigation strategy, return-to-work planning, and overall claim cost reduction.

Quantifiable outcome

• Faster recovery timelines through early intervention and tailored treatment plans
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Rising Medical Solutions: Workers' compensation medical management company offering nurse case management, physician review, IME, and utilization review. Closely comparable in service mix, scale, and buyer segments to Opus Medical.
• Genex Services: The largest independent provider of workers' compensation case management and managed care services in the U.S. Closest direct competitor to Opus Medical — same buyer set (TPAs, carriers, employers), same service lines (field/telephonic nurse case management, physician review, vocational), and competing for the same multi-state enterprise contracts.
• EK Health Services: Nurse case management and utilization review provider focused on workers' compensation. Competes directly with Opus on field and telephonic case management, with similar geographic and buyer profile.
• Helmsman Management Services: Workers' compensation and auto claims management services company, owned by Liberty Mutual. Direct overlap with Opus on TPA-delivered workers' comp case management services.

Broad incumbents

• Broadspire (Crawford & Company): Crawford-owned third-party administrator offering integrated workers' comp claims and medical case management. Competes head-to-head with Opus on TPA-side case management services, with broader claims administration capabilities.
• Sedgwick: Global claims management and care management incumbent serving workers' compensation, auto, disability, and property. Direct overlap with Opus on workers' comp case management, but as part of a much broader service portfolio (claims, absence, return-to-work, pharmacy benefit management).
• Mitchell International: Workers' compensation technology, bill review, and care management provider. Indirect competitor to Opus on the medical management side, with stronger positioning in software and bill review adjacencies.
• Conduent: Large business process services company that has historically operated workers' compensation care management and utilization review offerings. Broader portfolio but direct service-line overlap with Opus.

Emerging players

• MedRisk: Specialty managed care company focused on physical therapy and diagnostic imaging networks for workers' compensation. Adjacent category with overlapping buyer relationships and referral economics.
• One Call (formerly Align Networks): Workers' compensation specialty care network and care coordination provider. Competes with Opus for payer/TPA mindshare in coordinating post-injury care, though more network-centric vs. case-management-centric.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/weareopusmedical
• Xx.com/opus_medical_
• Facebookfacebook.com/opusmedical

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds3 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Opus Medical