CareCentrix is a healthcare services company specializing in utilization review and medical necessity determinations across multiple lines of business including post-acute care, home health, durable medical equipment (DME), home infusion therapy, and sleep services. The company works with health plan clients to support evidence-based care decisions by conducting medical necessity reviews and evaluating requests in alignment with clinical and regulatory standards. CareCentrix employs physician reviewers who collaborate with internal staff, providers, and ordering physicians to ensure appropriate care while meeting service level agreements and performance guarantees for their health plan clients.
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