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Utilization Review

Customer Service:
1-800-657-8205

UnitedHealthcare's Care Management and ENCOMPASS Health Management Systems provide utilization review for:

  • various health care services relating to Notification - which is required for hospital stays greater than three days
  • organ or tissue transplant evaluation and services

When contacting a utilization review company, be prepared to provide:

  • ID number
  • primary insured's name
  • name, address, and birth date of the patient
  • reason for hospitalization or transplant evaluation
  • names, addresses, and telephone numbers of the doctor and hospital

If your ID card has a Choice Plus or Options PPO logo, contact Care Management:

  • call toll-free at 1-800-999-3404

If your ID card has a different network logo, contact ENCOMPASS: