UM Denials

If a provider requests services for a member that are not authorized (denied), written notification will be provided and will include specific reasons for the denial as well as appeal rights. In addition, McLaren Health Plan’s Chief Medical Officer or other appropriate practitioners will be available by phone to discuss any utilization issue and the criteria utilized in the decision-making. Please call the Medical Management department at (810) 733-9710 to make an appointment to speak to the reviewer.