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The utilization review process begins with one call to the Hines’ toll-free number. Our goal? Simplify the system for the insured and all family members.
While doing this, Hines…
The insured, a family member, hospital representative or the doctor can precertify via either method. If notified of the confinement by a provider, Hines will contact the insured and/or family.
Hines offers a variety of reports and delivery methods including direct-connect FTP services and anytime on-line reporting at no additional charge. On-line, you can review precert and case management status as often as needed. If data is collected, we can report it.
Dedicated to healthcare education for over two decades, Hines’ door to communication is always open. Your questions receive a timely response!
See our Utilization/Pre-Certification PDF.