utilization review

noun

: a critical evaluation (as by a physician or nurse) of health care services provided to patients that is made especially for the purpose of controlling costs and monitoring quality of care

Examples of utilization review in a Sentence

Recent Examples on the Web
Examples are automatically compiled from online sources to show current usage. Read More Opinions expressed in the examples do not represent those of Merriam-Webster or its editors. Send us feedback.
The increase was driven by higher revenues from medical provider networks (MPN), medical bill review, utilization review, and medical case management services. Quartz Intelligence Newsroom, Quartz, 19 Mar. 2025 During the past 15 years, PBMs have expanded their services to include drug utilization reviews, disease management programs and specialty pharmacy services. Rita Numerof, Forbes, 16 Dec. 2024

Word History

First Known Use

1972, in the meaning defined above

Time Traveler
The first known use of utilization review was in 1972

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Cite this Entry

“Utilization review.” Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/utilization%20review. Accessed 18 Apr. 2025.

Medical Definition

utilization review

noun
: the critical examination (as by a physician or nurse) of health-care services provided to patients especially for the purpose of controlling costs (as by identifying unnecessary medical procedures) and monitoring the quality of care
Last Updated: - Updated example sentences
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