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VHP CommunityCare has chosen the most current version of InterQual as primary written utilization review decision criteria used to determine medical appropriateness. Any provider may request a copy of criteria used in the decision process of a requested service by contacting Health Services’ Prior Authorization line at 1-615-782-7800.

 

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VHP CommunityCare is a wholly-owned subsidiary of Windsor Health Group and licensed by the State of Tennessee to operate in Davidson County as a TennCare Managed Care Organization. VHP CommunityCare currently contracts with Vanderbilt University Medical Center, Meharry Medical College, Metro General Hospital, and their various providers serving an average of 35,000 TennCare members.