The Netmark Payer Services Utilization Management program uses regular feedback and the authority of a medical director to simultaneously maximize health care and optimize medical costs.
Netmark Payer Services Utilization Management offers a Utilization Management program that focuses on prospective Utilization Management. Netmark serves as a liaison between the provider and payer to help identify which medically necessary services are covered by the health plan and the appropriate place of service. Through a clinical team, Netmark makes recommendations in alignment with covered benefits to achieve the most cost-effective and optimal patient care outcome.
