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Health Payer Consortium Health Payer Consortium

Case Management / UR

HPC’s Medical Case Management service focuses on active care coordination designed to improve patient outcomes and patient satisfaction while maximizing cost containment and financial oversight.

BENEFITS FOR PATIENTS

  • Benefit review & same-day turnaround for most precertification requests
  • Coordination of health care services along the care continuum
  • Continuity for patients experiencing catastrophic and chronic illnesses
  • Coordination of alternative care settings
  • Ongoing support and guidance to navigate services
  • Discharge planning

BENEFITS FOR PAYERS

  • Pre-certification: Inpatient & Outpatient
  • Client-specific pre-cert requirements
  • Nationally recognized clinical guidelines applied to all clinical decisions
  • Concurrent reviews
  • Inpatient case cost oversight and documentation
  • Early notifications & ongoing surveillance regarding stop-loss cases
ART OF LIVING BUILDING
  • 1141 South 7th Street, St. Louis MO 63104
  • TOLL FREE (844) 888-1HPC (1472)
  • (727) 216-1674 (HIPAA Secure)
  • healthpayerconsortium.com
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