AllMed offers Prior Authorization reviews spanning all three types of utilization reviews, including:
- Prospective—reviewing approval request before the start date of your member’s care
- Concurrent—reviewing approval request as your member is receiving care
- Retrospective—reviewing approval request post your member receiving care
Our panel of nurse and physician reviewers use their clinical expertise and in-depth knowledge to complete all utilization reviews. We review both non-specialty and specialty-matched cases where our clients observe high utilization of services.
We pay close attention to the nuances and human implications of each case as we partner with you to deliver high quality, evidence-based reviews. Our services are available seven (7) days a week, including holiday coverage, so that your internal team can focus on other ways to improve member care.