BRMS Utilization Review

Optimize Your Benefit Plans with BRMS Utilization Review

To ensure you are optimizing your benefits plan, BRMS' Utilization Review program combines the expertise of registered nurse reviewers, our board certified Medical Director, and practicing physicians to help direct patients and providers toward the most cost-effective, quality-driven treatment available.

The clinical professionals providing BRMS' Utilization Review services use established national medical guidelines to evaluate the medical necessity for hospitalizations, outpatient services and appropriateness of overall treatment plans.

Our Utilization Review program emphasizes systems that provide control of, and accountability for, utilization of services. Identification may include over - or - under utilization of services and inappropriate utilization of services in terms of medical necessity and level of care.