Complete Benefits Administration System

Utilization Review and Pre-Certification

 

Flexible and Powerful

bulletUse what you need.
Have a nurse on staff? Full utilization review interfaced with Pre-cert.
Outside source for UR? Pre-cert may be updated via EDI.

In other words, the system can accommodate however you do business.

bulletEach pre-cert will flag the appropriate claimant at time of claims entry for verification.

 

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