Focusing on medical necessity and reasonable treatment.
Kunkel Care Solutions Utilization Review focuses on medical necessity and reasonable treatment. Our team of registered nurses and panel of certified peer reviewers use nationally recognized guidelines and treatment protocols to pre-certify appropriate treatment.
Through our utilization review, we can ensure the medical care received by members is appropriate and medically necessary. This leads to better outcomes for the member and maximizes plan savings.
Disclaimer: Statements on this website as to policies and coverages provide general information only. All coverages are subject to terms, conditions and exclusions of the actual policy issued.