UR (Utilization Review)
UR is the process of justifying continued coverage of treatment to an insurance payer. UR reports include the client's clinical presentation, current treatment plan, level-of-care assessment (ASAM, LOCUS), progress since the last review, and clinical justification. Insurance companies use UR to authorize continued stay or step-down. Navix's Authorizations Assistant builds UR reports automatically from chart data.
Operations terms.
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