Utilization Management

The Lucent-Narus Commitment

Lucent-Narus Health’s commitment to managing healthcare quality and cost means offering superior medical claims management programs and services, including Pre-Certification/Utilization Management (UM), powered by Narus Health.

Pre-Certification/UM ensures members receive the care they need—including referring members to large case management/complex care management when appropriate—as well as ensuring savings opportunities.

Our Pre-Certification/UM program delivers an experienced team of clinical professionals—licensed registered nurses and/or physicians—to review all ordered inpatient activity, outpatient surgeries, various diagnostic procedures and other tests for appropriateness. It ensures that the member receives the highest-quality, most appropriate and most cost-effective services possible.

The Lucent-Narus Commitment

Lucent-Narus Health’s commitment to managing healthcare quality and cost means offering superior medical claims management programs and services, including Pre-Certification/Utilization Management (UM), powered by Narus Health.

Pre-Certification/UM ensures members receive the care they need—including referring members to large case management/complex care management when appropriate—as well as ensuring savings opportunities.

Our Pre-Certification/UM program delivers an experienced team of clinical professionals—licensed registered nurses and/or physicians—to review all ordered inpatient activity, outpatient surgeries, various diagnostic procedures and other tests for appropriateness. It ensures that the member receives the highest-quality, most appropriate and most cost-effective services possible.

Need Pre-Certification?

Submit a Pre-Certification

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