Concurrent Review

Concurrent review is the process a plan uses to keep approving care that is already underway, such as a hospital stay or an ongoing course of therapy. If the reviewer decides continued treatment is no longer necessary, the plan can cut off coverage even mid-course. Because these decisions are time-sensitive, they often qualify for an expedited appeal.

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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.