Commitment to- 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.
In short, we use all available expertise to evaluate cases based on the most current evidence-based practices and national, state, or local regulatory guidelines.
Connect
Doctors
To Doctors
When doctors connect, relationships grow and appeals happen less often.
85%
Peer-to-Peer Calls
Get Clear Communications with Members and Patients
Clear Communications with patients and members can lead to higher satisfaction and improved outcomes.
4-6th
Push Notifications
Keep You Connected
100%
Each and every step of the review process generates a notification keeping you informed of progress.
Credentials Trusted throughout Healthcare
BHM Healthcare Solutions began in 2002 bringing insights to hospitals and payers though efficiency consulting and behavioral health expertise and growing into the powerfully nimble resource for your organization.
20+
years of serving the healthcare industry
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.
