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Active RAC Utilization Review Agents (67) Agency Nameless known Addressing, State, ZipExpirationDateContact Person2018 Anthem UM Services, Inc. Anthem UM Services, Inc. Anthem UM Services, Inc. Anthem
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How to fill out active urac utilization review

01
To fill out an active URAC utilization review form, follow these steps:
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Start by providing the necessary details such as the patient's name, contact information, date of birth, and insurance information.
03
Next, include the details of the healthcare provider or facility being reviewed, including their name, contact information, and any relevant identification numbers.
04
Fill in the date and details of the initial request for utilization review, including the reason for the request and any supporting documentation or medical records.
05
In the form, clearly state the services or procedures being requested for review, including any codes or descriptions that are applicable.
06
Provide any additional information that may be relevant to the utilization review, such as previous treatments, medications, or relevant medical history.
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Ensure that all required signatures and authorizations are obtained before submitting the form.
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Review the completed form for accuracy and completeness before submitting it to the appropriate reviewing authority or organization.
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Keep a copy of the completed form for your records.

Who needs active urac utilization review?

01
Active URAC utilization review may be needed by various healthcare stakeholders including:
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- Patients who want to request a review of their healthcare services or treatment plans to ensure their needs are being met.
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- Healthcare providers who need to undergo utilization review to maintain accreditation or comply with regulatory requirements.
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- Insurance companies or payers who require utilization review to assess the medical necessity and appropriateness of the services being provided.
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- Employers or organizations responsible for managing employee healthcare benefits and ensuring cost-effectiveness and quality of care.
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- Regulatory agencies or authorities who oversee healthcare practices and require utilization review to monitor compliance and patient outcomes.
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Active URAC utilization review is a process used by insurance companies to evaluate the necessity and appropriateness of medical treatment.
Insurance companies are required to file active URAC utilization review.
Active URAC utilization review can be filled out online through the designated portal provided by the insurance company.
The purpose of active URAC utilization review is to ensure that medical treatments are necessary and appropriate, helping to control costs and improve patient outcomes.
The information reported on active URAC utilization review includes patient information, treatment provided, medical necessity, and treatment outcomes.
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