Utilization Management is a process that helps determine that the healthcare services and prescription drugs requested meet medical necessity, evidence-based and have meaningful long-term effectiveness. Under the guidance and supervision of our physicians, our utilization review nurses process requests for services or medications in a timely manner while working with treating providers to allow adequate time for communication.
MedicusRx Utilization Review team works with the treating providers to prevent unnecessary denials and delays of medical care for the injured workers.