| we require payment for deductibles, co-payments and non-covered services. To request special payment arrangements, contact our Patient Financial Services Department, telephone 800.576.5050.
The Utilization Management Department follows up-to-date testing and specialty care indication guidelines to authorize care in accordance with your health plan. Utilization Management is comprised of healthcare professionals who are trained in the policies and procedures developed by the health plans and regulatory agencies that will be used when a prior authorization for a service your physician ordered is needed. Mercy Medical Group does not reward individuals conducting utilization review for issuing denials of coverage of service.
Financial incentives for Utilization Management decision makers do not encourage decisions that result in underutilization.
Contact Utilization Management Services.
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