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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. 

 

 

 

 

 

 

 

 

 

 

 

See how technology improves chronic condition management

 

 

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WE ASSIST WITH ALL LEVELS OF CARE

PRE-PROCEDURE

  • Evaluate medical necessity, appropriateness and efficiency of healthcare services, procedures, and facilities
  • Review of health plan coverage
  • Includes prospective, current, and reflective review

 

POST-PROCEDURE

  • Assess success of the discharge plan and evaluate any follow-up needs
  • Verify medication adherence
  • Ensure follow-up appointments are in place
  • Serve as a resource for questions
  • Evaluate risk for readmission

 

 

 

 

 

 

 

“MY NURSE WAS TRULY A GODSEND. SHE HELPED ME THROUGH MY ENTIRE CANCER EXPERIENCE. I TRULY THANK HER FOR HER SUPPORT."

 

DEBBIE | HEALTHCHECK360 PARTICIPANT

 

 

 

 

GET STARTED

 

RELATED PRODUCTS

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CONDITION MANAGEMENT

This program integrates wellness and medical management so your participants have a one-stop resource.

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CASE MANAGEMENT

A collaborative process that assists members with options and services for catastrophic and complex cases.

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ADVOCACY

Our team of experts are available to answer member questions and help them navigate their benefits.

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