Utilization Review
Assisting Providers and Carriers in assessing the provided level of care to improve outcomes and contain costs.
Ensure that treatment requests are medically necessary for optimum level of care according to regulatory guidelines.
eData’s Reviewers have in-depth knowledge on ACOEM, MTUS, ODG and other evidence-based medicine that support treatment requests. They can also assist patients and physicians in the preparation of voluntary appeals of denied RFAs.
Our Reviewers and Analysts also assist claims adjusters in identifying the appropriateness of medical care, and mishandling of reimbursements.
