Who we serve
Our deep understanding of Medicare regulations and the hierarchy of criteria makes us the perfect IRO partner for your Medicare Advantage plan. Our IRO services are ideal for:
- Medicare Advantage plans
- Commercial Health Plans
- Government Health Plans
- Third-party Administrators
- Stop-loss insurers
Our solutions
With extensive clinical and UM experience, we can provide concurrent and retrospective reviews for:
- DME
- LTAC
- Inpatient Rehab
- Outpatient Services
- Inpatient Services
- Inpatient/Obs Determination
- Part B Pharmacy/Chemotherapy
- Genetic Testing and Pharmacogenomics