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AmeriBen Medical Management

AmeriBen Medical Management We would like to share some important information regarding the services available to member s whose plan includes our AmeriBen Medical Management services. Utilization Management Utilization Management (UM) is a service that helps members get the right care in the right place. This process helps us decide if certain outpatient care, inpatient hospital care or procedures are medically necessary. UM also helps us decide if the services will be covered by our members health plans. We work with providers to answer questions about the utilization Management process and the authorization of care. Here is how the process works: call us toll free from 8:00am 5:00pm MST (except on holidays) on the number listed on the back of the member s ID card for Precertification or toll-free at 800-388-3193. If you call after normal business hours, you can leave a private message with your contact information and our staff will return your call within 24 business hours.

800-388-3193. If you call after normal business hours, you can leave a private message with your contact information and our staff will return your call within 24 business hours. • You can also print a copy of our Pre-Certification Request Fax Form online at the Provider login page and fax it to us at 877-955-3548.

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