InterMed focuses its efforts on a case by case basis.
We understand that each injury is unique, so we don't use a generic list of referral criteria. InterMed's Utilization Review process benefits clients by identifying prior treatments and validating the treatment plan and diagnosis. Our Utilization Review also channels care into a PPO/MPN whenever possible. Peer Review referral is conducted as necessary, and it ensures that injured workers receive the correct treatment at the appropriate level.
Customized Utilization Review referral criteria ensure that all requests for authorization are reviewed and approved at the correct level. This results in expediting approval of low level requests and reducing substantially the number of requests sent to Utilization Review.
Get real-time access to determinations and outcomes.
Utilization Review can be completed on a client's internal operating system, enabling examiners real-time access to information that is integrated electronically with Bill Review to ensure payment of only approved treatments.