Expert utilization review for complex and specialty care.
Expert utilization review for complex and specialty care.
Expert utilization review for complex and specialty care.
Expert utilization review for complex and specialty care.
Tidemark VA helps your team meet payer requirements, support medical necessity, and build the documentation needed for approval.
Tidemark VA helps your team meet payer requirements, support medical necessity, and build the documentation needed for approval.
Tidemark VA helps your team meet payer requirements, support medical necessity, and build the documentation needed for approval.
Tidemark VA helps your team meet payer requirements, support medical necessity, and build the documentation needed for approval.
Did you know each payer has different criteria
for the same treatment?
Did you know each payer has different criteria for the same treatment?
Did you know each payer has different criteria for the same treatment?
01
01
Different
coverage rules:
Different coverage rules:
Different coverage rules:
Each payer has its own requirements
for what it will cover.
Each payer has its own requirements for what it will cover.
02
02
Different documentation:
Different documentation:
Different documentation:
What one payer needs in your clinical notes may not be enough for another.
What one payer needs in your clinical notes may not be enough for another.
03
03
Different approval
requirements:
Different approval
requirements:
Different approval
requirements:
Treatments, devices, and higher levels of care may require different information before approval.
Treatments, devices, and higher levels of care may require different information before approval.
Did you know each payer has different criteria for the same treatment?
01
Different coverage rules:
Each payer has its own requirements for what it will cover.
03
Different approval
requirements:
Treatments, devices, and higher levels of care may require different information before approval.
02
Different documentation:
What one payer needs in your clinical notes may not be enough for another.
94%
94%
94%
of physicians report that prior authorization delays access to necessary care
of physicians report that prior authorization delays access to necessary care
of physicians report that prior authorization delays access to necessary care
Did you know each payer has different criteria for the same treatment?
Did you know each payer has different criteria for the same treatment?
01
Different coverage rules:
Each payer has its own requirements for
what it will cover.
Each payer has its own requirements for what it will cover.
02
Different documentation:
Different documentation:
What one payer needs in your clinical notes may not be enough for another.
03
Different approval requirements:
Treatments, devices, and higher levels of care may require different information before approval.
WHY CHOOSE US
WHY CHOOSE US
Our team works as an extension of your staff.
Our team works as an extension of your staff.
Our team works as an extension of your staff.
Our team works as an extension of your staff.
Our team works as an extension of your staff.
Insurance approval for higher levels of care, new medical devices, and treatments like ketamine, Spravato, and Prism can be complicated.
Our utilization review team helps you navigate payer requirements from initial authorization through ongoing care.
We identify what each payer requires and guide your providers on the documentation needed to support approval.
Insurance approval for higher levels of care, new medical devices, and treatments like ketamine, Spravato, and GrayMatters' Prism can be complicated.
Our utilization review team helps you navigate payer requirements from initial authorization through ongoing care.
We identify what each payer requires and guide your providers on the documentation needed to support approval.
Insurance approval for higher levels of care, new medical devices, and treatments like ketamine, Spravato, and GrayMatters' Prism can be complicated.
Our utilization review team helps you navigate payer requirements from initial authorization through ongoing care.
We identify what each payer requires and guide your providers on the documentation needed to support approval.
Insurance approval for higher levels of care, new medical devices, and treatments like ketamine, Spravato, and GrayMatters' Prism can be complicated.
Our utilization review team helps you navigate payer requirements from initial authorization through ongoing care. We identify what each payer requires and guide your providers on the documentation needed to support approval.
Insurance approval for higher levels of care, new medical devices, and treatments like ketamine, Spravato, and GrayMatters' Prism can be complicated.
Our utilization review team helps you navigate payer requirements from initial authorization through ongoing care.
We identify what each payer requires and guide your providers on the documentation needed to support approval.
Explore all services
Not sure if we're the right fit?
In one call, we'll review your business and show you exactly where revenue is being lost.
No long-term contracts.
Cancel anytime.
Not sure if we're the right fit?
In one call, we'll review your business and show you exactly where revenue is being lost.
No long-term contracts.
Cancel anytime.
Not sure if we're the right fit?
Not sure if we're the right fit?
In one call, we'll review your business and show you exactly where revenue is being lost.
In one call, we'll review your business and show you exactly where revenue is being lost.
No long-term contracts. Cancel anytime.