Employee healthcare benefits are a challenging and ever-changing task. One of the greatest challenges is providing high-quality, yet cost-effective care for Plan Participants. Core Health Services is responding to these challenges through our integrated approach to utilization management which is based on three concepts:
Our experienced review nurses utilize nationally recognized review criteria, allowing our utilization management certifications to be as consistent as possible. Our nurses carefully review each case we receive for medical necessity and for the appropriateness of the level of care.