eQCare® Medical Management Services goal is to oversee and ensure the quality of the relevant care while promoting appropriate utilization of medical services by reducing costs and using plan resources. Patients receive the best possible care based on medical necessity. Costs are managed by assuring the level of care is appropriate to health need, and repetitive, unnecessary or inappropriate services and costs are minimized or eliminated. Our workflows and processes include a network of professional service representatives backed by a highly experienced clinical staff of nurses and physicians. Our services, delivered via online web portal, fax and/or telephone, help health plans by providing a means to monitor the appropriateness of all medically necessary and covered services for pre-service care, concurrent review, and post-service care delivered to your members in alignment with your plan guidelines.
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