top of page
Search

Prior Authorization & Utilization Management

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.

3 views0 comments

Recent Posts

See All

Surprise Billing

Many insurance consumers have heard the term “Surprise Billing” but what is it? Surprise billing happens when a patient receives an unexpected bill after they receive care at an out-of-network facilit

2024 Insurance Contracting Updates

To our patients, In 2024 we have had some changes to our insurance contracting and want to ensure our dedicated clients & community receive the correct information. As of March 10th, 2024, we are no l

Pickleball & Parkinson's

Pickleball has been increasing in popularity and has many benefits for those with Parkinson’s. Kyle Ohnemus DPT is our resident pickleball specialist. If you’d like to get on his schedule and see if p

Comments


bottom of page