Many insurance carriers employ 3rd party utilization management companies, such as Evicore, to protect their bottom line by dictating the use of your healthcare benefits. These companies are responsible for approving/denying your care based on their clinical guidelines.
At Cooperative Performance & Rehabilitation, we fight back against utilization management to make sure you are receiving the quality care you deserve and pay for.
If we receive denials, we will work all peer review processes with utilization management prior to getting you involved in the appeal process. If we are unable to over turn the denial via the 3rd party utilization management company, we will get you involved in the appeals process directly through your insurance carrier and provide you with a patient advocacy letter directing you to the best contacts to fight back against these practices.
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