Medical Management

We offer robust products and industry leading services that ensure you receive the healthcare management you deserve, all at an affordable cost.

Blackhawk has the capability to cater to your unique needs and deliver when you need it most. Let us create a solution that caters to each of your employees and business needs.

Our URAC-accredited Utilization Management program guarantees members have access to the proper health care by delivering medical necessity reviews that ensure maximum savings. The programs team of board-certified physicians, registered nurse reviewers, and external specialists are here to ensure that members benefit.

We monitor every case to verify that members are receiving appropriate and quality care, and report any never event and avoidable hospital conditions. Members are in the best hands with each admission evaluation and review being delivered by board certified physicians or an experienced registered nurse.

Blackhawk’s industry leading proprietary software facilitates each step in our seamless utilization review process. Referrals to case management are made automatically to ensure a timely and quality response.

product highlights


Manages each phase of the utilization review process, from initial contact to evaluation and recommendation.

Blackhawk’s Quality Management team oversees the program to guarantee that our services are efficient, cost effective, and of the highest quality.

Network verification capability.

Prior authorization requests are accepted and responded to via electronic transmission.