Utilization Management/Service Determination

Our Utilization Management/Service Determination (UM) team reviews the health care you get based on a set of guidelines. We review the medically necessary care to make sure it is the best for your needs. 

Learn more about Utilization Management/Service Determination in your Navigate member handbook. You can also call Member Services to get a printed copy of the member handbook sent to you.

Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT