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NAICS Code 621999-16 - Health Care Utilization Review
Marketing Level - NAICS 8-DigitBusiness Lists and Databases Available for Marketing and Research
Total Verified Companies:
12
Contact Emails:
265
Company Websites:
11
Phone Numbers:
12
Business Addresses:
12
Companies with Email:
4
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- Full Business & Mailing Address
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- Industry Codes (Primary and Secondary SIC & NAICS Codes)
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Looking for more companies? See NAICS 621999 - All Other Miscellaneous Ambulatory Health Care Services - 50,309 companies, 286,873 emails.
NAICS Code 621999-16 Description (8-Digit)
Health Care Utilization Review is a process that involves the evaluation of medical services and treatments to ensure that they are necessary, appropriate, and cost-effective. This industry is responsible for reviewing medical records, treatment plans, and other relevant information to determine the best course of action for patients. The goal of Health Care Utilization Review is to improve the quality of care while reducing unnecessary costs.
Parent Code - Official US Census
Official 6‑digit NAICS codes serve as the parent classification used for government registrations and documentation. The marketing-level 8‑digit codes act as child extensions of these official classifications, providing refined segmentation for more precise targeting and detailed niche insights. Related industries are listed under the parent code, offering a broader context of the industry environment. For further details on the official classification for this industry, please visit the U.S. Census Bureau NAICS Code 621999 page
Tools
Tools commonly used in the Health Care Utilization Review industry for day-to-day tasks and operations.
- Medical coding software
- Electronic health record systems
- Clinical decision support tools
- Utilization management software
- Case management software
- Medical necessity criteria
- Quality improvement tools
- Data analytics software
- Risk assessment tools
- Patient satisfaction surveys
Industry Examples of Health Care Utilization Review
Common products and services typical of NAICS Code 621999-16, illustrating the main business activities and contributions to the market.
- Medical claims review
- Prior authorization services
- Case management
- Disease management
- Utilization management
- Quality improvement
- Medical necessity review
- Peer review
- Independent medical examination
- Disability management
History
A concise historical narrative of NAICS Code 621999-16 covering global milestones and recent developments within the United States.
- The Health Care Utilization Review industry has a long history dating back to the early 1900s when the first hospital utilization review committee was established in the United States. The industry has since evolved to become an integral part of the healthcare system, with the introduction of new technologies and regulations. In the 1970s, the federal government passed the Health Maintenance Organization Act, which led to the creation of health maintenance organizations (HMOs) and the increased use of utilization review. In the 1980s, the industry saw the introduction of computerized utilization review systems, which allowed for more efficient and accurate reviews. In recent years, the industry has continued to evolve with the increased use of data analytics and artificial intelligence to improve the utilization review process. In the United States, the Health Care Utilization Review industry has undergone significant changes in recent years. The passage of the Affordable Care Act in 2010 led to an increased focus on cost containment and quality improvement, which has driven the growth of the industry. The industry has also seen increased consolidation, with larger companies acquiring smaller ones to gain a competitive advantage. In addition, the industry has seen the increased use of telemedicine and other digital technologies to improve the utilization review process. Overall, the Health Care Utilization Review industry has a rich history and continues to play a critical role in the healthcare system.