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Initial Clinical Review

Home / Initial Clinical Review
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Clinical review conducted by appropriate licensed or certified health professionals. Initial clinical review staff may approve requests for admissions, procedures and services that meet clinical review criteria, but must refer requests that do not meet clinical review criteria to peer clinical review for certification or non-certification. Sometimes referred to as “first level review.”

Related Articles:
  • Glossary: Clinical Activities
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Related Terms:
  • Term: Clinical Review Criteria

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