Radiology Utilization Management

Radiology

Care to Care have the industry‘s most extensive and current set of evidence-based criteria. Our quality and utilization management programs provide health plans with comprehensive and robust tools to appropriately manage radiology benefits.

Radiation Oncology

Care to Care have the industry‘s most extensive and current set of evidence-based criteria. Our quality and utilization management programs provide health plans with comprehensive and robust tools to appropriately manage radiology benefits.

Cardiac Imaging

Care to Care have the industry‘s most extensive and current set of evidence-based criteria. Our quality and utilization management programs provide health plans with comprehensive and robust tools to appropriately manage radiology benefits.

Network Management

Care to Care have the industry‘s most extensive and current set of evidence-based criteria. Our quality and utilization management programs provide health plans with comprehensive and robust tools to appropriately manage radiology benefits.

Credentialing

Care to Care have the industry‘s most extensive and current set of evidence-based criteria. Our quality and utilization management programs provide health plans with comprehensive and robust tools to appropriately manage radiology benefits.

CONTROL RADIOLOGY COSTS AND ENSURE QUALITY HEALTHCARE

Solutions

Care to Care's proprietary, customizable solutions provide group plan administrators with turn-key management of radiology and imaging services. Patients, physicians and providers all experience positive outcomes, as communication is simplified, patients receive the right radiology services and the appropriate parties are billed seamlessly managed by Care to Care's professional oversight and constantly up-dated systems.

The latest technology, HIPPA and PHI Compliant, secure networking plus comprehensive data analysis benchmarking and medical analytics Care to Care's radiology benefits management solutions are flexible and highly scalable to accommodate growth and volume.

  • Medical Necessity Review/Clinical Certification
  • Provider Network Development or Rental
  • Quality Process Control (Site Assessment & Equipment Certification)
  • Provider Privileging
  • Claims Bundling, Re-pricing & Adjudication