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Case Managers
What A Case Manager Does
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Wikipedia defines a Case Manager for a health insurer's functions as follows:
- Check benefits available;
- Negotiate rates with providers who are not part of the plan's network;
- Recommend coverage exceptions where appropriate;
- Coordinate referrals to specialists;
- Arrange for special services;
- Coordinate insured services with any available community services; and
Coordinate claims with other benefit plans.
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