Handle medical requests quickly and efficiently.
Health plans need an efficient and timely process to manage requests for medical services before the needed services are rendered.
A flexible system accessed via the web, fax or telephone coupled with a software designed specifically for the URUM workflow, staffed with a network healthcare professional service representatives and backed by clinicians (nurses and physicians) make this daunting task more accessible.
eQHealth Solutions Utilization Review / Utilization Management Services can help.
- Inpatient/outpatient services
- Prior authorizations, peer-to-peer, concurrent and retrospective reviews
- Appeals process management
- Reporting capabilities (metrics, productivity and custom)
- URAC accredited services
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