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
Manage Risk, Improve Security Posture and Meet Compliance
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.