Utilization Management

Complete Claims Processing Inc. acts as a Dispensing Physician Service Administration Office. Under the terms of a DPSAO contract between CCPI and a physician client, CCPI will assume all responsibility for enrolling physicians with Pharmacy Benefits Managers so that they are eligible for 3rd party reimbursements. The Contracting department at Complete Claims Processing Inc. will make sure each prospective physician client meets the necessary criteria for enrolling in a PBM. CCPI’s Utilization Management Program will verify that each physician client maintains a practice within the consistent structure of current regulation and will work with each physician to maximize patient care responsibly.

Dispensing Physician Service Administration Office