- Connect with Doctors
- Clear Communications
- Completion Deadlines
Health plans choose BHM for quality and timely medical review services conducted by board-certified and credentialed physicians for all lines of business and levels of review.
When doctors connect, relationships grow and appeals happen less often.
Get Clear Communications with Members and Patients
Clear Communications with patients and members can lead to higher satisfaction and improved outcomes.
Keep You Connected
Each and every step of the review process generates a notification keeping you informed of progress.
Building Trust and Confidence
This level of service builds trust and confidence that decisions are both rational and equitable. Conducting diplomatic, effective peer-to-peer consults with the attending physician as needed builds stronger provider relationships for your health plan while ensuring all relevant case details are considered when making an appropriate determination.
Utilization management (UM) decisions, made by BHM Healthcare Solutions (BHM) designated reviewers, use nationally recognized criteria and are based only on appropriateness of care and services, including the existence of coverage. BHM does not compensate anyone for denying coverage or service, nor does it use financial incentives to encourage denials or the under-utilization of any needed medical service.