To receive complete information about utilization review information regarding the proposed course of treatment or procedure requested by the physician.
To give every consideration of privacy and to expect that all communications and records related to care will be treated as confidential.
To be given access to the utilization management department for timely responses to questions and requests made for service.
To be given information on how to file a complaint.
To be informed of Review Med’s utilization management policies including how to file an appeal when requested.
To be informed of utilization management criteria used to authorize, modify or deny health care services when requested.
Consumer Responsibilities
To be familiar with the benefits and exclusions of the state workers’ compensation laws applicable to provision of medical benefits. (visit our helpful links for your jurisdiction)
To provide the consumer’s health care provider with complete and accurate information regarding past illnesses, hospitalizations, medications, and other matters related to health status.
To treat the utilization management staff with respect and dignity.
