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Utilization Management

Advance UR goal is to effectively manage your workers’ compensation healthcare costs through utilization review for Prospective, Retrospective, and Concurrent Reviews. Our Utilization Management can determine appropriateness, frequency, and duration of all medical treatment.

Advance UR’s staff consists of a Medical Director, Nurses, and Board Certified Physicians in many areas of sub-specialties.

  • No multiple charges for surgery reviews: ex – Rotator Cuff Repair, CPM, Pain Pump, Physical Therapy 2×6 (1 review 1 charge)
  • We follow the guidelines: MTUS, ACOEM, ODG
  • We have a quick response 0.92 Days in most cases.
  • We do not up charge our physician review cost.
  • We provide quarterly cost savings reports.
  • All reviews are performed by Nurses.
  • We will control your medical cost while still ensuring quality medical care.