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Care Management Services

Care Management (Medical Management) or Clinical Services is a specialized HealthCare service. With acute shortage of clinical experts (Doctors, Registered Nurses, Pharmacist) in market, there is a need for triage. We can help.  The Clinical Services offered by American TPA comprises of an extensive range of value added benefits for clients. We maintain a help desk with a toll-free service numbers that is adequately staffed with trained clinical inclusive of Nurses, Pharmacists and Analysts.

  • Help Desk
  • Coordination of Benefits (COB)
  • Discharge Management
  • Disease Management
  • Early Intervention
  • Formulary¬† Management (FM)
  • Medication Therapy Management (MTM)
  • Reporting
  • Tele-Health / mHealth
  • Therapeutic Interchange (TI)
  • Utilization Management (UM)
    • Prior Authorization (PA)
    • Grievances & Appeal Management
    • Exception Request
    • Step Therapy
    • Quantity Limit
    • Peer Review
    • Concurrent Review
    • Radiology Utilization Management
    • Retrospective Review
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Contact Information

425 Washington Blvd.,
Jersey City,
New Jersey 07302,
USA

Phone: +1 551.227.1525 | +1 201.258.4704
Fax : +1 201.604.3480
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