Coverage Determination Consultation

Expert advice when you need it most

Are you ready for the road ahead?

With clients ranging from state agencies to commercial health plans, HID’s clinical services support the daily healthcare of more than 40 million Americans from coast to coast. We are dedicated to broadening the value of the coverage determination process by maximizing efficiency, auditability, and consistency. Our commitment to these principles means expanded criteria sets, lower approval rates, tested CMS compliance, and decreased ingredient cost for a healthier bottom-line. We are not alone in thinking this value reaches a critical need in the market place.

Our experts can help you:

  • Implement compliant, end-to-end coverage determination and prior authorization workflows and software for your plan
  • Assist in strategic planning to increase the efficiency of your coverage determination process
  • Learn about potential pitfalls and risk mitigation techniques regarding new legislation and regulatory requirements