Comprehensive Integration – Utilization review seamlessly integrates with case management, claims management, bill review, networks, and pharmacy benefit management. This total team integration ensures optimal outcomes and efficient management of medical spending.

URAC Accreditation – TRISTAR Managed Care holds URAC accreditation for Workers' Compensation Utilization Management, reflecting our commitment to meeting the highest quality and performance standards in healthcare management.

Utilization Review Services – Our utilization review services cover pre-certification/prospective, expedited, concurrent, and retrospective reviews in accordance with URAC and state rules/recommendations, ensuring treatment decisions are made promptly and in compliance with regulatory guidelines.

Medically Based Treatment Recommendations – Our staff, including a Medical Director, utilizes medically based criteria to make treatment recommendations, ensuring cost-effective and clinically appropriate care for injured parties.