Significant portions of health care services are either medically unnecessary, redundant or performed in an inappropriate setting. ACM’s multi-lingual medical management program will reduce the cost of health care while positively impacting quality.

ACM utilizes criteria based, optimally efficient guidelines to determine the appropriate level of care to meet the specific health care needs of the individual.

Services rendered by the provider are compared to the appropriate level of care to determine the true necessity of the requested services.

ACM Services:

• Utilization Management
• Comprehensive Case Management
• Family Matters^® Maternity Program
• Medical Claim Review
• Transplant Network Access
• Out-of-Network Claim Negotiation