Amalgamated Medical Care Management is a premier national Medical Management company providing a comprehensive suite of high quality care management services. They include: Utilization Management, Case Management, Physician Review, and Nurse Helpline/Health Information. AMCM also offers such vital services as: Disease Management, Disability Management, Readmission Management, Maternity Management, DRG Validation, Medical Claims Review and Network Referrals. The company is accredited to URAC standards across core service areas, including: Utilization Management, Case Management, Physician Review and Nurse Helpline/Health Information. In addition, it has achieved Telemedicine accreditation from the Clear Health Quality Institute and is a full member of the National Association of Independent Review Organizations.
Organizations ranging from hospitals, physicians and health plan sponsors (e.g., unions, trust funds, businesses, employer assistance plans and ERISA funds) to colleges and government agencies have come to depend on Amalgamated for its excellent clinical expertise, unwavering commitment to optimum patient outcomes and cost-effective healthcare. Its services are provided by an experienced, compassionate team of physicians, registered nurses, medical directors and customer service representatives providing services on a 24/7 basis from its U.S.-based offices in Salem, New Hampshire and King of Prussia, Pennsylvania. To ensure high data accuracy and reliable information exchanges, Amalgamated applies advanced technologies such asJIVA, a leading population health management platform, and N-Centaurus by LVM Systems, a robust clinical call center software solution.
AMCM adheres to evidence-based criteria and guidelines, medical appropriateness, patient-setting considerations and best in class practices to deliver care management services that optimally reflecting today’s value-based healthcare objectives.
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51-200 employees
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Health, Wellness & Fitness
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1-800-863-8688
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1 Northeastern Blvd, Suite 100, Salem, New Hampshire 03079, US
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1990
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Disability Management, Medical Claims Review, Utilization Management, Case And Disease Management, Claims Cost Management Services, Hospital Readmission Management, Independent Physician Review, Maternity Management, Nurse Helpline And Health Information, Wellness/Health Coaching, Drg Validation
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The decision makers in Amalgamated Medical Care Management are Barbara Wright, Bernard M Bettencourt, Bernard M Bettencourt, etc. Click to Find Amalgamated Medical Care Management decision makers emails.
You can reach Amalgamated Medical Care Management by visiting our website and using the contact form, or by calling our customer service line. We strive to respond to all inquiries promptly to assist you with your needs.
Yes, a staff directory is available on our website. It includes contact information for key personnel across various departments, allowing you to connect directly with the right team member for your specific inquiries or support.
Amalgamated Medical Care Management offers a comprehensive suite of services including Utilization Management, Case Management, Physician Review, and a Nurse Helpline. These services are designed to enhance patient care and streamline healthcare processes.
We support a variety of industries including healthcare providers, insurance companies, and corporate wellness programs. Our tailored solutions are designed to meet the unique needs of each sector, ensuring high-quality care management.
Absolutely! We provide Medical Claims Review and Claims Cost Management Services to help you navigate and manage your medical claims effectively. Our team is dedicated to ensuring you receive the benefits you are entitled to.
Our Nurse Helpline offers 24/7 access to health information and support. You can reach the helpline by calling the number listed on our website. Our trained nurses are ready to assist with your health-related questions and concerns.
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