ABS partners with Ascension Care Management Insurance Holdings to provide utilization management for all medical services that require a prior authorization. Ascension Care Management Insurance Holdings is a population health engagement company that helps meet the health and wellness needs of communities and large populations. Ascension Care Management Insurance Holdings is accredited by URAC and has more than 25 years of experience providing utilization management expertise. ABS requires prior authorization for all inpatient hospital stays, certain outpatient procedures, MRI & MRA imaging, DME and other various services.
With Ascension Care Management Insurance Holdings, providers can initiate an authorization via provider portal, fax or telephone. Submission of a request through the portal allows for quicker processing, viewing of authorization status, and the ability to receive automatic authorization for certain services if criteria is met.
Ascension Care Management Insurance Holdings uses InterQual® CP criteria to ensure decision-making consistency and medical necessity as industry standard, and Ascension Care Management Insurance Holdings gives providers the opportunity for peer-to-peer conversations and reconsideration reviews.
Provider Interactive Portal (24/7 – 365 days/year) Access to prior authorization requests and determinations
For all documents related to Utilization Management please visit the Forms page.
