An expert IRO
when you need it most

In a time of unpredictable enrollment and increasing complexity, you need a partner you can trust. Our expert, unbiased physician reviews are perfect for small-to-mid-sized health plans, helping you deliver consistent service to your members.

An IRO for your next opus

Our goal is to partner with you to provide unmatched service to your members, no matter what changes you may experience.

Enhance customer service

Our quick turnaround times on reviews ensure that your members receive top-notch service and you remain compliant, even when review volume is high.

Reduce costs

Improve utilization management for your high-cost service lines through unbiased, criteria-based reviews built for your budget.

Improve efficiency

We can partner with you to shorten turnaround time, reduce bottlenecks, and provide consultation and tailored strategies to improve your internal UM processes.

Maintain compliance

Our flexible, responsive gap coverage helps you maintain compliant, consistent UM processes, even during your busiest seasons.

Tailored services

Providing unique solutions and personalized care for the specific needs of your health plan so that you only pay for the services your organization needs.

The perfect match for Medicare Advantage plans 

With a deep understanding of Medicare regulations and the hierarchy of criteria for Medicare Advantage plans, our physician reviewers are the expert partner you need, no matter what your regulatory environment is. 

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