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OutPatient and InPatient visitations that exceed care entitlement
or capitation may require approval from the payor Employer's
Claims Authority.
Independent Health Claims Assessors - Reviewers (primary
case manager, gatekeeper) offer services to Employers on a
retainer fee to act in the interest of the Payor Employer
in assessing/reviewing care entitlement.
Appoint a professional assessor - reviewer or doctor as claims
assessor - reviewer as necessary if required.
If your company needs the services of Claims Assessors -
Reviewers please send requirements to: [email protected]
NOW EVERYONE CAN MANAGE HEALTH CLAIMS
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