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I accept and acknowledge on behalf of the Organization or Group, receipt of instructions on how to access the Anthem Blue Cross of California's Provider Manual for all personnel at each site. Additionally,
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Utilization management is a process used by insurers and managed care plans to evaluate the necessity, appropriateness, and efficiency of healthcare services being provided to patients.
Healthcare providers, facilities, and insurers are typically required to file utilization management reports.
Utilization management reports are typically filled out by documenting the patient's medical history, current treatments, and proposed future treatments.
The purpose of utilization management is to ensure that patients receive medically necessary and appropriate care while controlling healthcare costs.
Information reported on utilization management forms typically includes patient demographics, diagnosis, treatment plans, and outcomes.
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