Expert Guidance Leading to Optimal Outcomes

Our Utilization Review Program evaluates the medical necessity, appropriateness, and efficiency of any medical services, procedures, medications, or practitioner specialties as referred by clients. The goal of the program is to provide clients with medical necessity recommendations that are supported by current evidence-based medicine and that promote positive patient outcomes.

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The Value of UR

Utilizes nationally recognized, evidence-based guidelines, to review the provider’s treatment plan and determine if treatment is appropriate for the injured worker’s condition
Ensuring injured workers receive appropriate and medically necessary care, facilitating a better recovery
Control unnecessary medical treatment and associated costs that could extend an injured worker’s recovery and return to work
The workers’ compensation insurer always has the final authority on payment approval or denial of a medical service