Providers – Eligibility and Claim Status
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Utilization Review

Our nurse team helps guarantee members receive the care they need through the proper channels at the lowest cost possible.

Utilization review is a process to guarantee medical care is efficient, effective, and meets quality levels of care. UltraBenefits's team of nurses work to expedite the process by seeking prior approval from health plans and guarantee that patients' claims are covered before undergoing serious treatment or surgery. This ensures patients a more efficient process by attaining approval from their health insurer before treatment is performed. We make sure patients get the care they need:

  • through the right channels
  • from appropriate healthcare providers
  • in an approved setting

Case Study

Flexible Treatment Options

Debilitating chronic disease is already enough of a burden, we find the best care solution to meet each member’s needs.

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