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Kentucky Department of InsuranceUTILIZATION MANAGEMENT REVIEW GUIDE FULL REVIEW ENTITY NAME: ___ UM ENTITY ID #: ___UM CERT. EXPIRATION DATE: ___ACCREDITATION STATUS: Accredited: RAC NCAA Other: ___
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Collect all necessary information and medical records related to the case.
02
Complete the utilization review request form thoroughly and accurately.
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Provide any additional supporting documentation that may be required.
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Submit the completed form and documents to the Kansas Utilization Review Organization.
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Await the decision and follow any further instructions or recommendations provided.

Who needs kansas utilization review organization?

01
Healthcare providers seeking preauthorization for medical procedures or treatments.
02
Insurance companies reviewing claims for medical services.
03
Patients seeking coverage for specialized medical care.
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Kansas Utilization Review Organization (KURO) is a program that reviews and evaluates the medical necessity and appropriateness of health care services provided to patients.
Health care providers and facilities in Kansas are required to file Kansas Utilization Review Organization (KURO).
To fill out Kansas Utilization Review Organization (KURO), providers need to submit detailed information about the medical services provided to patients and follow the guidelines provided by the organization.
The purpose of Kansas Utilization Review Organization (KURO) is to ensure that health care services are medically necessary and appropriate, and to control costs associated with unnecessary treatments and services.
The information reported on Kansas Utilization Review Organization (KURO) includes details about the patient, the services provided, the medical necessity of the services, and any previous treatments or services received.
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