Partnering With Care Coordination and Utilization Management

No matter where your patients are receiving care, we have a team of highly-trained clinical professionals who will help ensure a coordinated care experience. FullWell employs a team of care coordinators who work with PCPs and their patients to manage patient transitions between outpatient, inpatient, and emergency facilities. Our utilization management team monitors inpatient and outpatient health care services provided to members through prospective, concurrent, and retrospective evaluation. FullWell also works with hospitalists and other care team members to help ensure that no matter the setting, your patients receive coordinated care.

*Providers can obtain a copy of the criteria/guidelines used in the utilization management decision process by contacting the FullWell Utilization Management department at 303-643-1450  or 800-843-0953. Utilization Management staff are available to take your call during normal business hours between 8:30 am - 4:30 pm.

Please note: FullWell Utilization Management decision making is based only on appropriateness of care and service and existence of coverage. FullWell does not reward practitioners or other individuals conducting utilization review for issuing denials of coverage. Financial incentives for utilization management decision makers do not encourage decisions that result in under-utilization.  

Focused Support

Greater need = greater support. Our analytics and tools provide clinical and social support to patients with the most need.

We’ll be There

We’ll be There

Sometimes a report or a phone call is not enough. That is why we’re working to ensure that we have the right on-site presence and support to care for your hospitalized patients’ needs.

Polished Approach to Care

FullWell combines the experience of two great companies with decades of experience caring for patients with the greatest need in a coordinated way. We are taking population health to the next level, building from a strong foundation.

Learn More

Have questions or need more information? Send us your information and we’ll be in touch.