The UM program consists of ongoing authorization and coordination of each member's care. The UM program serves as the member's advocate to facilitate and implement equal access to medical care for each member. The span of the UM program is inclusive of both the inpatient and outpatient settings and of medical health care. The program's core function is to evaluate the appropriate allocation of resources based on medical necessity. The program's scope ensures that each UM function is structured to ensure consistent and prompt decision-making.
You may call Medical Management at (888) 327-0671 or (810) 733-9722 if you would like to speak with the Chief Medical Officer about a utilization denial or any utilization issue.