About Us
You matter to this world, you matter to us
Since 1992, Precedence Inc. has conducted the UnityPoint Health managed care. Currently Precedence Inc. manages commercial insurance and Medicaid contracts.
Compassion, Care, Community
Since 1992, Precedence Inc. has conducted the UnityPoint Health managed care. Currently Precedence Inc. manages commercial insurance and Medicaid contracts.
- Over 25 years of experience
- Operating in 32 states
- Variety of services/plans: utilization management, case management, disease management, nurse advocacy
- Compassionate care – we treat you like a person, not a number
- Is URAC accredited.
- Provides utilization review by licensed health professionals.
- Directs beneficiaries to the most appropriate level of care and monitors ongoing progress.
- Establishes clinical criteria and protocols
- Has board-certified licensed medical directors and peer reviewers.
- Exceeds actuarial data concerning recidivism and average length of stay.*
- Uses a client centered approach.
- Adds a personal touch.
Call Us/Talk With A Consultant Today
“The Precedence staff is friendly and easy to work with, which makes the entire process flow smoothly for all.”
“Precedence specializes in evidence-based, outcome-oriented patient care to produce the best possible results.”
“Precedence helped me get the care I needed. I knew that I, and the quality of my care, mattered to them.”
WE Got You Covered
OUR MISSION
To provide compasionate cost-effective
health care because you matter to us.
Over 20 years of experience
Operating in 32 states
OUR VALUES
Compassionate
Cost-Effective
Measurable Outcomes
Client centered approach
PRECEDENCE, Inc.
MEMBER’S RIGHTS AND RESPONSIBILITIES
Precedence works to provide quality, compassionate behavioral health care for all those it serves. To help reach this goal the following member’s Rights and Responsibilities have been developed.
Each member has the following rights:
- To have confidentiality maintained at all times. Know what entities have access to information and know how Precedence ensures security, privacy and confidentiality.
- Clear understandable information regarding Precedence services and programs, staff and staff qualifications; any contractual relationship, clinical guidelines, provider panel, so as to make informed choices regarding service.
- To be treated with respect and dignity.
- Know which staff are responsible for managing their services and whom to request a change.
- Active participation with a provider in making decisions regarding their care.
- Understandable, open discussions with their provider and/or Precedence regarding all treatment options despite benefit coverage or cost.
- To lodge complaints and/or appeals regarding services provided by Precedence and/or their provider including time standards for resolution.
- To make recommendations regarding the member’s rights and responsibilities.
- To disenroll or refuse treatment or services including case management.
- The use of end of life advanced directives.
- The right to notification and rationale when case management services are changed or terminated.
- The right to have an independent review conducted by an independent review organization (IRO) if Precedence conducts a medical necessity denial of your care. Whenever a denial is based on a medical judgment (including, but not limited to, those based on medical necessity, appropriateness, health care setting, level of care, or effectiveness of a covered benefit) or determinations that a treatment is experimental or investigational, a review of the denial by an accredited independent review organization (IRO) is offered to the client, provider and/or facility.
- Alternative approaches when the consumer, family and/or caregiver are unable to fully participate in the assessment phase.
- A copy of the utilization management criteria.
Members have the following responsibilities:
- To provide all relevant information to both Precedence and their provider so as to receive the best service possible.
To participate in the program offered by Precedence Inc.
- To participate in the understanding of their mental health illness and/or substance abuse problem along with being candid in developing an agreed upon treatment plan. Or to notify the case manager if they cannot follow the plan.
- To follow the treatment plan agreed upon with the provider.
- To be knowledgeable of the benefits plan they selected.
- To Notify Precedence Inc. and treating providers if an individual disenrolls from a program (case management, transnational case management or population health).
Revised 8/08/08, 8/5/11; 2/8/13; 9/14; 6/16/18; 1/13/20