Utilization Management Programs

United Review Services offers customized Utilization Management programs to insurers, self-insured employers, TPAs and benefit plans. Our dedicated UM staff is comprised of experienced, dedicated Certified RNs. URAC compliant, nationally recognized criteria and guidelines are utilized, along with specialized physician consultants experienced in Utilization Management.

We have specialized Utilization Management programs for Workers' Compensation, New Jersey Auto No-Fault, Pension and Welfare Plans and Health Benefits programs.

We offer customized notifications, dedicated toll-free phone lines, customized management reports, online claim inquiry, and integration with our extensive Case Management resources to assist with potentially serious cases.

Related Utilization Management Links:

Treatment Precertification
Medical Necessity Review
New Jersey Decision Point Review
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