Utilization Management (UM) is the evaluation of medical necessity, appropriateness and efficiency of the use of healthcare services, procedures, and facilities under the auspices of the employee benefit plan. Utilization Management encompasses prospective, concurrent and retrospective review in which evidence-based, clinical criteria are applied to a request.
PRE-PROCEDURE
POST-PROCEDURE
“MY NURSE WAS TRULY A GODSEND. SHE HELPED ME THROUGH MY ENTIRE CANCER EXPERIENCE. I TRULY THANK HER FOR HER SUPPORT."
DEBBIE | HEALTHCHECK360 PARTICIPANT
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