Evidence-based Clinical Review

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ICM is happy to announce through our new partnership with DBMS that we bring to you some exciting health care technology products.

Please review these new products by clicking on the link below.

www.dbms-inc.com


DBMS adds new location:
5847 San Felipe, 17th Floor Houston, TX 77057
Future Location: Tampa, FL


 

Evidence-based Clinical Review:

Clinical review is performed on requested services/supplies that cannot be approved by the initial professional staff as medically necessary and appropriate.  The clinical review staff is specifically credentialed and works daily under the direction of our Board Certified Medical Director.  Determinations are made in accordance with nationally accepted clinical criteria and physician approved standards of care.  All determinations are delivered consistently and fairly at all times. 

The initial determination of medical necessity is a part of the core service provided by ICM.  All appeals are sent out to a URAC accredited company, who sends this to a Board Certified Specialist in the same field as the requested provider for review.  The cost for this is then passed on to the employer; the actual cost of the review plus a 20% administrative fee.  Obviously savings to the Plan can be very substantial. 





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