Improving quality of care while avoiding unneeded medical treatment.

We monitor and assess health care services across our networks for medical necessity and cost effectiveness. Our services are guided by our Quality Management Program which sets the highest priority on timeliness, accuracy, and quality of care.

Improving quality of care while avoiding unneeded medical treatment.

Controlling medical costs by ensuring reasonable care:

  • Our medical and clinical utilization review is performed by registered nurses with consultants available for specialty needs
  • We leverage nationally recognized guidelines to provide timely recommendations to our clients
  • Credentialed physicians across our networks perform appropriate medical care
  • Guardian’s UR staff attend training seminars and conferences to stay current on the latest UR processes
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