When appropriate, claims are sent to Utilization Management. The Utilization Management Program is one of Concentra's best weapons in cost containment. Our physician and allied health reviewers assess the appropriateness, efficiency and cost effectiveness of medical treatments proposed for both inpatient and outpatient care.
All utilization management is conducted by telephone with access to our toll free number.
Calls from the patient, patient representative, physician, hospital or health facility receive immediate attention from our nurse reviewers who work to facilitate appropriate, cost-effective treatment. Payors can rest assured that only necessary and goal directed care will be pre-certified, and patients are comforted in knowing that all treatment recommendations will be reviewed by our expert staff. Concentra Inc. - All rights reserved.