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Securing Approvals With Expertise

Utilization Review

Indigo Billing’s utilization review services ensure that your mental and behavioral health facility secures payer approvals by validating medical necessity and documentation. Operating from Costa Mesa, California, our team meticulously reviews patient records to meet stringent payer criteria, reducing claim denials and protecting your revenue. 

This critical service is part of our comprehensive approach to revenue cycle management, helping 250+ facilities achieve a 95% first-pass claim acceptance rate. 

Discover our full range of services on our Services page.

Indigo Billing’s utilization review services ensure that your mental and behavioral health facility secures payer approvals by validating medical necessity and documentation.

Operating from Costa Mesa, California, our team meticulously reviews patient records to meet stringent payer criteria, reducing claim denials and protecting your revenue. 

This critical service is part of our comprehensive approach to revenue cycle management, helping 250+ facilities achieve a 95% first-pass claim acceptance rate. 

Discover our full range of services on our Services page.

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Book Your Demo Today!

Our Utilization Review Process

Utilization review is a complex but essential step to justify treatments to payers. Our Costa Mesa experts work closely with your clinical staff to ensure all documentation aligns with payer requirements, from initial submission to appeals. We provide timely feedback and actionable insights to strengthen future claims, minimizing financial risks. 

Clients like Coastal Behavioral Health in Santa Ana have significantly reduced denials with our support, as shared on our Client Testimonials page.

Utilization review is a complex but essential step to justify treatments to payers. Our Costa Mesa experts work closely with your clinical staff to ensure 

all documentation aligns with payer requirements, from initial submission to appeals. We provide timely feedback and actionable insights to strengthen future claims, minimizing financial risks. 
Clients like Coastal Behavioral Health in Santa Ana have significantly reduced denials with our support, as shared on our Client Testimonials page.

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Steps in Our Utilization Review

Record Review

Assess patient records for completeness.

Medical Necessity

Validate treatment to align with payer criteria.

Documentation Support

Provide guidance to strengthen submissions.

Appeals Management

Handle denials with robust appeal strategies.

Performance Tracking

Monitor approval rates for continuous improvement.

Benefits of Our Utilization Review

01. Reduced Denials

Fewer rejected claims improve cash flow.

02. Faster Approvals

Timely reviews speed up reimbursement.

03. Compliance Assurance

Meet payer and regulatory standards.

04. Staff Support

Free clinical staff to focus on patient care.

05. Data Insights

Analytics to enhance future submissions.

Indigo Billing by the Numbers

Why Utilization Review Is Critical

Payers often scrutinize mental and behavioral health claims, demanding detailed evidence of medical necessity. Without expert utilization review, facilities risk frequent denials, delayed payments, and increased administrative workload. Indigo Billing’s proactive approach ensures your claims are approved quickly and correctly, supporting your financial stability. Our process integrates seamlessly with our revenue cycle management services, delivering a 30% average revenue increase for clients. Learn more on our Our Process page.

Payers often scrutinize mental and behavioral health claims, demanding detailed evidence of medical necessity. Without expert utilization review, facilities 

risk frequent denials, delayed payments, and increased administrative workload. Indigo Billing’s proactive approach ensures your claims are approved quickly and correctly, supporting your financial stability. Our process integrates seamlessly with our revenue cycle management services, delivering a 30% average revenue increase for clients. Learn more on our Our Process page.

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Take Control of Your Claims

Let Indigo Billing streamline your utilization reviews for better outcomes. Contact us for a free consultation to see how we can protect your revenue.

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Fill out the form below and one of our knowledgeable experts will give you a call to discuss how we can help optimize the financial aspect of your business.

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