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Appeals

CCM performs first and second level medical necessity appeals utilizing its Medical Director or a Consulting Medical Specialist. Only a physician may recommend a denial of coverage based on medical necessity. The physician performing the appeal is matched by specialty to the physician providing the service. Medical review services may be provided in conjunction with a URAC accredited partner organization.

 

 

CCM is a Certified Women-Owned Business Enterprise in New York State.

Pleasure in the job puts perfection in the work - AristotleCMDM