Utilization Management & Hospital Admissions
Utilization Management (UM) assists members in obtaining quality health care in the most efficient and economical manner. Quartz has a utilization management program to protect members from unnecessary costs and to help Quartz be a good steward of plan resources for all members. A variety of processes are in place to evaluate the utilization and quality of health care services provided to Quartz members. All the Utilization Management (UM) programs are supported by qualified health professionals and physicians whose education, training and experience are commensurate with the UM reviews they conduct.