URAC Health Utilization Management Accreditation
Primaris has been awarded Health Utilization Management accreditation by URAC. This is the oldest and most recognized UM accreditation in the country. The Health Utilization Management standards encourage greater consistency in the policies and procedures used by managed care organizations when making medical necessity determinations. They also ensure that appropriately trained clinical personnel supervise the utilization review process, and require that a reasonable and timely appeals process be followed when an initial decision to deny healthcare is made. The Health Utilization Management Standards apply to the full range of managed care organizations, from HMOs to stand-alone utilization review organizations.
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation and certification programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry. For more information, visit www.urac.org.