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Concurrent Utilization Review/Evaluation (CURE) Continued
Services:
  • Notify treating provider of the CURE process
  • Contact from referral by "Like Specialty" Medical Director (within 72 hours)
  • Identify current medical status
  • Discussion of treatment plan with treating provider — 90 to 95% of all providers cooperate in the CURE process
  • Consensus agreement of consults and reasonable treatment parameters
  • Identify critical pathway
  • Confirmation letter of treatment plan sent to treating provider
  • Detailed report with recommendations and case direction
  • Case follow-up including provider contact by CSG Medical Director, current medical status, response to treatment plan, critical pathway analysis, and discharge planning
 
Benefits:
  • Reduction of claims administration
  • Reduction in number of payments
  • Reduction of litigation and policyholder complaints
  • Fewer treatments
  • Proven savings per claim
  • Medically necessary treatments identified
  • Easy access to information through our website (http://www.medlogix.com)

Service Request Form