The Alabama Application For Certification Bill Screening And Utilization Review Qualifications For Utilization Review Entity is a set of criteria that organizations must meet in order to be authorized to provide utilization review services in the state of Alabama. This includes both prospective and retrospective utilization review of health care services provided to Alabama residents. There are two types of Alabama Application For Certification Bill Screening And Utilization Review Qualifications For Utilization Review Entity: Type I and Type II. Type I qualifications include: an established organizational structure, professional staff with appropriate qualifications, appropriate financial and administrative capabilities, an approved quality assurance program, and an approved system of utilization review guidelines and procedures. Type II qualifications include: an established organizational structure, professional staff with appropriate qualifications, appropriate financial and administrative capabilities, an approved quality assurance program, and an approved system of utilization review guidelines and procedures that have been reviewed and approved by the Alabama Certification Board for Utilization Review. Organizations must meet all the criteria and submit a completed application to the Alabama Certification Board for Utilization Review before they can be approved to provide utilization review services in the state of Alabama.
Alabama Application For Certification Bill Screening And Utilization Review Qualifications For Utilization Review Entity
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