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Pre-Certification
Pre Certification is pre-approval of treatment for injuries that are not
covered by the state approved care path.
Upon receipt of the claimant's medical records, Active Care will determine
the outcome of the Pre-Certification or Decision Point Review within one business day.
Pre-certification uses:
 | State-mandated care paths (if applicable) |
 | Nationally recognized standards of care |
 | Medical and diagnostic records |
 | Customary care standards |
 | The claimant's individual medical history |
 | Direct contact with the physician by a medical professional to ascertain additional
information regarding the physician's treatment plan |
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