How to Access Utilization Management

If you need to reach Utilization Management (UM), staff may be contacted Monday through Friday, from 8:00 a.m. to 5:00 p.m., by calling 630-859-6925 or 800-806-0051. Calls before and after these hours are taken by a voice mail system and will be returned on the same or next business day.

Utilization Management Affirmation Statement

UM decisions are based on medical necessity, which includes appropriateness of care and services, and the existence of available benefits. As an organization, Dreyer does not specifically reward practitioners, health plan staff, or other individuals for issuing denials of coverage, care or services, and no incentive programs are utilized to encourage decisions that result in under-utilization. Dreyer also affirms that there is no conflict of interest between the medical group’s independent practice association and its’ UM decisions-makers.

Referral Information
If you are an HMO Illinois/Blue Advantage or Humana HMO/Humana Medicare patient and you have been referred out of Dreyer Medical Clinic for services, please wait to make your appointment until after you have received your written referral. It is your responsibility to bring your referral with you to your appointment.