Pre-certification & Prior Authorization

MCMC provides “specialist” reviews authorization for Inpatient Hospital Stays, Procedures, and pre-pay fraud reviews. Each review is performed by either a generalist or specialist depending on the case.  Reviews are typically completed in 48 hours or less.

MCMC also provides “generalist” reviews for a low flat rate for cases where a generalist suffices.  These cases are typically turned around in 24 hours.