MLR Reference Guide for Agency Partners

Whether you’re working with one agency or over a dozen, it can be challenging to keep them up to speed on your promotional review process. Even if you’ve shared all of the key information with them—SOPs, turn-around times, job naming conventions, etc.—you probably find yourself requesting unnecessary amendments in order to adhere to your requirements.

Our template helps agencies prepare all the necessary details for MLR review, prompting answers to common questions such as:

• Who are the alternate contacts if the process coordinator is out of the office?
• Do primary contacts vary by product or disease state?
• What’s the standard naming convention for new jobs, supporting documents, and references?