Employers | Members | Brokers | Providers

Utilization Management

Utilization ManagementGPA offers Utilization Management to ensure that members obtain the appropriate medical services necessary and enhance care quality. If warranted, independent physician reviews and appeals are conducted. Overall, this program assists patients with understanding their diagnosis, treatment plan and related financial implications and recovery.

The Value of GPA Utilization Management:

For Employers

  • Reduced healthcare costs
  • Achieved medical care compliance
  • Ensured medical necessity
  • Enhanced employee relations

For Employees

  • Improved health & outcomes
  • Best-in-class care
  • Fewer hospital and ER visits
  • Coordination with Benefit Advocates

Download Utilization Management Program Consumer Rights and Responsibilities [PDF, 319KB]

Download Utilization Management Notification Form [PDF, 244KB]

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