Your providers assess your members’ medical necessity needs and submit a request for durable medical equipment, prosthetics, orthotics, or supplies.
Our automated platform reviews the requests in real time, evaluating equipment based on medical necessity.
Requests that meet clinical criteria are immediately approved. Our clinical reviewers, including physicians, nurses, social workers, and therapists, are available to consult with your providers about any requests that don’t meet our clinical guidelines.
DMEPOS care coordination
We partner with providers to ensure equipment is delivered before the member returns home from the facility. Members are trained on all equipment usage, making recovery more effective and less stressful.
Review request data is shared with your system(s) for claims, care management, and reporting purposes.