Engagement models
Ongoing Review Support
Recurring physician review integrated with the client’s established utilization management workflow.
Overflow Capacity
Additional physician capacity for volume surges, backlog reduction or temporary coverage needs.
Appeals & Complex Cases
Targeted physician review for escalated, disputed or clinically complex determinations.
Project-Based Support
Defined review initiatives with agreed scope, workflow, deliverables and quality expectations.
What helps us scope an engagement
- Organization and line of business
- Review types and clinical specialties
- Estimated review volume and expected coverage window
- Turnaround-time requirements
- Criteria, medical policies and regulatory framework
- Required documentation and escalation workflow
- Technology and secure information-exchange requirements
- Quality reporting and performance expectations
Request for proposal
Organizations may send a non-PHI business summary or RFP request to contact@umPhysicianAdvisors.com. Please do not include patient or member information in an initial inquiry.
Next step: after an introductory discussion, scope, service levels, security requirements, pricing, credentials and contracting terms can be defined for the specific engagement.