If you have patients with chronic health conditions or complex health care needs, we're here to help. Contact our Care Management Team so we can provide them with individualized support. We can answer their questions and ensure they get the right care.
We offer a range of services to support your patients as they manage their chronic health issues. We can help them address barriers to self-management through:
Your patients can get extra support when their health care needs are intense or confusing. A registered nurse will provide case management services. They'll work with in-network providers to ensure your patients receive cost-effective care. There is no extra cost for this service. Call 1-866-905-7430 to make a referral.
Our Utilization Management (UM) team helps ensure our members get appropriate care. They'll review medical services before and after those services are provided. As part of the review, they may consider many types of clinical information, including:
Medical records such as:
Historical records regarding:
Request-specific information regarding: