Contact 800.275.6011

Utilization Review Solutions

MedHelp, Inc.’s Utilization Review (UR) Solutions is our way of safeguarding our partner’s patients against unnecessary denials by payers. Patient care is reviewed by our in-house nurse clinicians from perspectives of medical necessity, quality of care and appropriateness of decision-making, place of service and length of treatment.

MedHelp provides utilization review and concurrent reviews with insurance payers to secure financial approval and or authorization for your patient’s medically necessary substance abuse treatment.

We review medical records and prepare appeals—if necessary based on medical necessity, level of care, length of hospital or treatment center stay and authorization denials for patients.  Utilization management is conducted throughout the entire process.

We ensure:

  • Strong patient advocacy
  • Thorough and accurate verification of benefits
  • Careful claims processing and management
  • Follow-up and management of claim denials

MedHelp, Inc. advocates diligently for your patients and maximize authorizations for your patients.

For more information regarding MedHelp, Inc.’s Utilization Review Solutions, please call us toll-free at (800) 275-6011 for details, or click here to get started now!