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Pre-admission and Pre-service Reviews

Our early review of procedures and services ensure that these services are appropriate and meet your Plan guidelines for coverage before service is rendered. Working closely with providers, CCM reviews all services which require “pre-certification” through your Plan as well as high cost services and requests for new technologies.

Physician specialists may perform these reviews. A panel of more than one thousand physicians is available through CCM's URAC accredited medical review organization partners.

Pleasure in the job puts perfection in the work - AristotleCMDM