Factors 7-13 should be scored as “Met” for upheld denials sent to MAXIMUS.
UM_CR 2018
FAQ Directory: Utilization Management, Credentialing and Provider Network
Filter Results
- Save
Save your favorite pages and receive notifications whenever they’re updated.
You will be prompted to log in to your NCQA account.
Save your favorite pages and receive notifications whenever they’re updated.
You will be prompted to log in to your NCQA account.
- Email
Share this page with a friend or colleague by Email.
We do not share your information with third parties.
Share this page with a friend or colleague by Email.
We do not share your information with third parties.
- Print
Print this page.
Print this page.
You are viewing a single FAQ from your previous search. Clear Search