Utilization Review

A utilization review, or a UR, is designed to do a number of things. Most importantly, a utilization review works to ensure that each client is getting the appropriate care for their needs. It also helps to make future plans for care all while being aware of any adjustments that need to be be made within the company to accommodate the clients.

The most common reason people perform utilization reviews, however, is to verify that a client’s insurance company is going to provide their share of coverage for all final costs of the services rendered to the client. Those working on the utilization review for this purpose are responsible for trying to minimize costs wherever they can prior to sending a bill to a client.