Time to Decision

Overview Humana TAT

Required determination timelines are set by standards required by the State and Federal government for different types of requests (Standard or Expedited). If you have questions about expediting requests, please reference this article

Additionally, accreditation standards and levels may be set by quality organizations. Generally, guidelines used to measure success are...

  • The National Committee for Quality Assurance (NCQA)
  • Local state agency requirements
  • Payor policies for commercial healthcare.

Medicare Guidelines are set by the Center for Medicare and Medicaid Services (CMS). Cohere’s goal is to surpass these required guidelines with aggressive turnaround time goals that exceed the required standards.

 

 

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