Utilization & Referral Management
Our Experience-Led UM Team offers health plans and claims-paying organizations a scalable Utilization, Prior Authorization and Review process to minimize the under or over-utilization of benefits.
DRIVING LOWER COSTS
The winning idea is to place the patient in their appropriate level of care with supportive documentation, tracking and communications with care management team to lower hospital and emergency room utilization.
Our trained physicians, modern technology and overall understanding of plan benefits and payor reimbursement criteria help drive lower costs. In case of appeals, our team will guide client through the process.
