Our partnership with Point C Care Management helps members receive the care they need in the appropriate setting for their circumstances.
Utilization review is a process designed to ensure medical care is efficient, effective, and meets evidence-based standards of care. Services included with utilization review include inpatient precertification, pre-service authorizations, concurrent review and discharge planning. We make sure patients get the care they need, through the right channels, from appropriate healthcare providers, and in an approved setting.
Debilitating chronic disease is already enough of a burden, we find the best care solution to meet each member’s needs.
