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To: All Providers From: Utilization Management Department Re: Global Authorizations Routine services related to maternity care are included in a global authorization. All specialty services require
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Who needs the utilization management department:

01
Healthcare providers - They may need the utilization management department to obtain authorization or approval for specific medical procedures, tests, or treatments for their patients.
02
Patients - Individuals seeking healthcare services that require prior authorization or approval may need to go through the utilization management department to ensure coverage and to reduce out-of-pocket expenses.
03
Insurance companies - Utilization management departments help insurance companies manage and monitor the usage of healthcare services to ensure appropriate and cost-effective care is being provided.
Note: The specific entities that need the utilization management department may vary depending on the healthcare system and insurance policies in place.
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The utilization management department is responsible for reviewing and approving or denying requests for medical services to ensure they are appropriate and medically necessary.
Healthcare providers, insurance companies, and managed care organizations are required to file forms with the utilization management department.
Forms for the utilization management department can be filled out electronically or on paper, and must include all relevant patient and treatment information.
The purpose of the utilization management department is to ensure that healthcare services are provided in a cost-effective manner and in accordance with established medical guidelines.
Information that must be reported includes patient demographics, medical history, proposed treatment, and justification for the requested medical services.
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