Workers' Compensation · RTW Platform · v.2026Alpharetta, GA

Better.
Back to Work.

RTW Hub replaces paper return-to-work forms with a digital workflow connecting physician, employer, adjuster, and worker — and delivers the signed form to the adjuster the same day it is completed.

Fig. 01 — Cost of a 10-day paper delay
Per claim, blended estimate, Georgia self-insured employer
Wage replacement (GA TTD max)$1,600
Indirect & productivity$2,000–6,000
Form turnaround delay (3–7 days)$1,680–3,920
Avg total lost-time claim$47,316
RTW Hub fee$15 / case
Even a fraction of this loss recovered at $15 per case is a strong return. The three documented bands are quantified below.
Sources: NCCI Injury Facts · NSC Work Injury Cost · Georgia SBWC
The math, in one range

Days saved, dollars saved, return on the $15 fee.

RAND’s evaluation of California workers’ comp reporting puts physician form turnaround at 3–7 lost workdays per cycle. Combined with a blended $560/day productivity cost, that’s the canonical RTW Hub calculation.

Days saved per case
3–7 days

Indemnity claims routinely add 3–7 lost workdays per reporting cycle waiting on physician form turnaround. Same-day signed PDFs eliminate that window entirely.

Lost-workday savings
$1,680–$3,920

At a blended $560 per lost workday — direct labor (BLS ECEC, Dec 2024) plus indirect cost (OSHA $afety Pays) — recovering 3–7 days returns $1,680 to $3,920 per case.

What the platform does · § 02

Three layered capabilities, each compounding on the last.

Speed unlocks coordination savings on day one. Quality embeds clinical evidence at the point of care. Accountability surfaces panel-level outcomes over time.

Tier 01 · SpeedDay 1

Replace paper with a same-day digital workflow.

The adjuster receives the signed PDF the moment the physician completes it — not 5 to 15 days later via fax. No phone calls chasing physicians.

Same-day form delivery
Tier 02 · QualityMonths 1–6

Evidence-based guidance at the point of care.

AMA OEM occupational medicine guidance and 47 BLS SOII benchmark data points are displayed to the physician at the moment of decision. An AI quality check flags contradictions before signing.

Smart form with evidence-based guidance and BLS benchmarks
Tier 03 · AccountabilityMonth 6+

Physician-specific outcomes across your entire panel.

RTW rates, days-away-from-work vs. BLS benchmarks, restriction patterns, and time-to-sign — by physician. Data that does not exist anywhere else, enabling panel curation under O.C.G.A. §34-9-201.

Panel curation and improvement
§ 03 · Four stakeholders, one platform

Built for everyone in the claim.

Every stakeholder in a lost-time claim touches RTW Hub — at the appropriate level of access for their role.

EM
Employers & self-insured

Counties, school districts, hospital systems, and large manufacturers with direct financial exposure. Panel analytics support evidence-based curation.

Self-insuredRisk managersNet-30 invoice
CA
Claims adjusters & TPAs

Prioritized action queue surfaces every case that needs attention. Signed RTW forms the day they are completed. Physician performance across your entire book.

AdjustersTPAsSingle invoice
MD
Treating physicians

Always free. The structured form takes under 8 minutes. AMA guidance and BLS benchmarks are embedded at the point of care — reducing liability from unsupported restrictions.

Free forever<8 min formAMA-guided
IW
Injured workers

Free read-only access to your own case record. Know where your RTW form stands and what restrictions are in place — without waiting on a phone call.

Read-onlyMobile-firstFree access
§ 04 · The workflow

From injury to signed form in the same day.

Indemnity claims routinely add 3–7 days waiting on physician form turnaround. RTW Hub collapses that window to under 3 days, every time — and most cases see the signed PDF the same day.

Days waiting on physician form turnaroundComparison of legacy paper/fax form turnaround (37 days) versus RTW Hub same-day PDF turnaround (0.53 days).Days waiting on physician form turnaroundFrom visit until the signed form reaches the adjusterLegacypaper / fax37 daysRTW Hubsame-day PDF0.53 daysDay 01234567solid = floor (always at least this long)hatched = extended rangeSource: RAND evaluation of California workers' compensation reporting (Wolf et al., PMC6075806).Days specifically attributable to physician form / report waiting in indemnity claims.

Reading the chart: RTW Hub eliminates the 3–7 day legacy form-transit delay. The 0.5–3 days shown for RTW Hub represents adjuster processing time that exists in either workflow.

§ 05 · Tier 3 · Panel analytics

The data your panel has never seen.

Days-away-from-work, time-to-sign, restriction patterns, and RTW rates — by physician, against BLS national medians. Surface outliers. Curate panel membership on outcomes.

  • 47 BLS SOII benchmarks by injury type and body part
  • Time-to-sign distribution per physician
  • Off-work rate vs. peer average
  • MMI estimate accuracy over time
Fig. 02 — Physician DAFW vs. benchmark
BLS SOII 2023–24 median: 12 days. Sample data.
Wells, MD
10.8d
Mangrum, MD
14.2d
Torres, DO
13.1d
Chen, MD
17.9d
Park, MD
31.5d
BLS · 12d
Park, MD flagged: avg DAFW 31.5d vs. 12d BLS median. Off-work rate 39.6% vs. peer 15.0%.
§ 06 · Customer outcomes · proof

Real-cohort math at $15 per case.

Take the canonical range — 3–7 days saved per case, $1,680–$3,920 per case in recovered lost-workday cost — and apply it at three operating scales. Every row uses the same $15 per-form fee.

Fig. — Customer savings at three scales · same $15 per-case fee
ScenarioLT cases / yrPlatform feeSavings · floorSavings · ceiling
Mid-market employer · 30 LT cases / yr30$450$50,400$117,600
Self-insured cohort · 172 LT cases / yr172$2,580$288,960$674,240
Large TPA book · 500 LT cases / yr500$7,500$840,000$1,960,000

Floor = 3 days × $560/day; ceiling = 7 days × $560/day. Days-saved range from RAND (Wolf et al., PMC6075806);1 blended cost per lost workday from BLS ECEC December 2024 + OSHA $afety Pays.2,3

Sources & methodology
  1. 1.Wolf et al. RAND Corporation evaluation of California workers' compensation reporting. PMC6075806. ncbi.nlm.nih.gov ↗ — RAND's evaluation found that physician report turnaround routinely adds several days per reporting cycle, especially for work-status and progress reports required for return-to-work decisions. Approximately 3–7 lost workdays attributable specifically to waiting on physician reports and forms in typical indemnity claims.
  2. 2.U.S. Bureau of Labor Statistics, Employer Costs for Employee Compensation, December 2024 release. bls.gov ↗
  3. 3.Occupational Safety and Health Administration, $afety Pays Program — background of cost estimates (derived from Business Roundtable / Stanford University Department of Civil Engineering study). osha.gov ↗
  4. 4.National Safety Council, Injury Facts — Work Injury Costs. injuryfacts.nsc.org ↗ — NSC reports wage and productivity losses alone at approximately $795 per lost workday (2024), confirming that the blended $560 figure used here sits on the conservative end of published estimates.
  5. 5.Per-case savings: 3 days × $560 = $1,680 (floor) and 7 days × $560 = $3,920 (ceiling). ROI: $1,680 ÷ $15 = 112:1; $3,920 ÷ $15 = 261:1. Lost-time case counts in the scenario table are illustrative operating sizes, not customer-specific data.
§ 07 · Pricing

Simple. Per case. No seat fees.

One price for the entire workflow. Physicians and workers are always free — adoption is driven by employers, not by a sales cycle.

Always included
Physician & worker access
Freealways

Physicians complete forms at no charge. Injured workers receive read-only portal access at no charge.

  • OEM-guided RTW form
  • AMA tips at restriction steps
  • BLS benchmarks at MMI
  • AI quality check
  • Worker read-only portal
No signup required →
Most popular
Employers & adjusters
Per-case
$15/ case managed

One flat fee per lost-time case. No monthly minimum. No seat license. Billed monthly in arrears via invoice (net 30) or card on file.

  • Full case management workflow
  • Physician form invitation & delivery
  • Electronic signature & PDF auto-delivery
  • Tier 3 panel analytics dashboard
  • BLS SOII benchmark data
TPAs & enterprise
Volume
Customnegotiated

One consolidated invoice covering all employer clients. Net-30, ACH for public-sector, dedicated account contact.

  • Single monthly invoice
  • Panel analytics across all accounts
  • ACH for public-sector
  • Dedicated account contact
partnerships@rtwhub.com →
Billing by account type. Self-insured employers and TPAs are invoiced monthly at net 30 via Stripe. Small adjusters use card on file. New accounts and pilots can start with a prepaid credit block.
§ 08 · Founders

Built by a physician and an engineer.

RTW Hub is not a software company's interpretation of the workers' comp problem. It was designed from the inside — by a physician who has seen the paper form workflow fail injured workers, and an engineer who has built production SaaS used by hundreds of organizations.

SM
Shane Mangrum, MD
Co-Founder & CEO

A physiatrist specializing in interventional spine at Axion Spine & Neurosurgery in Alpharetta, Georgia. Physiatry is the discipline closest to functional recovery and return-to-work decision-making.

MD, PhysiatryInterventional SpineAxion Spine & NeurosurgeryAlpharetta, GA
CM
Creed Mangrum
Co-Founder & CTO

MIT graduate (BS, Computer Science and Molecular Biology). Career software engineer who has architected production SaaS platforms across multiple industries, including healthcare technology at Kyruus, ClearView Healthcare, and Rockefeller University.

MIT, Computer ScienceHealthcare SaaSProduction architect
§ 09 · Book a demo

See what your panel data could look like.

A 20-minute demo. No commitment. If RTW Hub doesn't represent a clear return for your organization, we'll tell you so.

Schedule directly
RTW Hub Demo · 20 min
Shane Mangrum, MD · America/New_York
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Tue, May 14 · Available times
10:0010:301:002:304:00
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