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Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage. 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization.
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NOTICE FOR POST - ACUTE CARE SERVICES X
If you are submitting a request for post-acute facility services for a Horizon or Braven patient, please register or login at https://eportal.carecentrix.com. For all other patients and services, please continue as normal.