We want your patients to get the most out of their healthcare plans. Which is why we created our utilization management program. It's designed to ensure high-quality and cost-efficient health care for all members.
And to make sure this goal is always a top priority, our program is updated, reviewed and approved annually by the Medical Advisory Council. You can access the utilization management program online or by contacting the Utilization/Case Management Department at 419-887-2520 or 1-800-891-2520.
Please review the appropriate fax numbers for each request type.
As you might expect, program requirements may vary based on a member's specific benefits, but the following are helpful overviews for various topics: