Utilization Review

Advancements in medical technology and the discovery of new health care treatments have made the question of medical necessity more complex than ever. To ensure that every case receives comprehensive utilization review, MedBen performs this service through iProcertTM, a firm specializing in medical management services.

iProcertTM utilizes a physician-led approach to medical management. Rather than solely relying on systems-based clinical criteria, nurses at iProcertTM have the on-site support of a multidisciplinary medical team. This allows them immediate access to a medical opinion, providing a much higher level of clinical support than is traditionally found in medical management programs.

In addition, a dedicated full-time medical director provides daily oversight for our client’s cases.

With iProcert
TM, MedBen clients have a fully integrated claims management system: claims prevention through disease management, cost control through claims surveillance, and assured appropriateness of care through effective medical management services.

For more information about utilization review, please e-mail our marketing department at marketing@medben.com.