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RehabCorp, Inc. Physician Direct Utilization Management Program (PD+UMP) ensures that each medical procedure is reviewed by one of our UR/QA board certified staff physicians.  They will substantiate and document the appropriateness of the prescribed treatment as well as the necessity, based upon the patient's particular needs, and that the services are delivered in the most efficient and cost-effective manner possible.

Click the appropriate link below to request services.  Fill out the form (printable or web submitted). Submit your request and we will contact you.

 

Request Services (Forms)

 

Forms are available for the following services. Please call (972) 880-7673 and request any one of the following forms:

 

1.  Preauthorization

 

2.  Peer Review

 

3.  Bill Review

 

4.  Impairment Rating

 

5.  Independent Medical Evaluation

 

6.  Functional Capacity Evaluation

 

7.  Life Plan

 

 
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