UTILIZATION MANAGEMENT ADVICE FOR A BETTER EXPERIENCE
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.
ADVICE FOR A BETTER EXPERIENCE
Utilization Management ensures you're getting the most from your health care dollars. Outreach from a dedicated Registered Nurse ensures evidence-based, clinical guidelines are applied to each request.