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Independent Medical Review Services for Payers
Faster. Better. More Cost Effective.
The medical management & claims challenge.
Claims, utilization review
and case management professionals face
an avalanche of healthcare claims, appeals and pre-authorization
requests, and are challenged to provide objective determinations under
tight deadlines and other regulatory requirements. But increasingly
complex medical procedures and drug treatments, along with constantly
shifting standards of care, further complicate the job, making it
almost impossible to maintain the specialist knowledge needed for
timely, expert decision making. It is of little wonder today’s claims
and UR professional is often overwhelmed by the need to ensure proper
healthcare utilization, control claims costs and, at the same time,
provide each member with the benefits he or she deserves.
Check out The AllMed Difference.
In order to ensure that plan members receive the care they’re
entitled to while controlling unnecessary utilization, more claims and
medical management professionals are partnering with AllMed. With
AllMed, high quality independent medical reviews delivered on time is
only the start. AllMed delivers a complete knowledge-based solution
that includes:
- Free, Instant Access to Doctors: AllMed’s
in-house physicians and clinical team are available to provide free
advice and consultation on cases, plan language and medical policy, via
our MedConsult Hotline and online chat system.
- Evidence-Based Medical Updates & Best Practices:
Subscribe to our online publications or attend one of our webinars that
cover emerging specialty medical treatments and hospital best
practices; all designed to help your clients make better determinations
based on better information.
- Online Reviews with PeerPoint Workflow:
Using AllMed’s secure online review software, you can send and receive
cases electronically, monitor case status, and download automatic
reports that help you identify trends and make medical policy
adjustments.
- Online Collaboration through PeerPoint Network:
Anonymously collaborate with other professionals, our medical directors
and peer specialists and access our Online Knowledge Base. With
PeerPoint Network, you gain access to a vast network of knowledge that
will help you make better determinations in less time.
- 100% Client Satisfaction Guarantee:
AllMed offers an unconditional quality and turnaround time guarantee on
every medical review to all of its clients. If you’re not completely
satisfied with every aspect of our service at any time, the review is
on us and we fix it to your satisfaction, no questions asked.
Discover more about AllMed’s Independent Medical Review services and
the value they can bring to your organization by watching our 3 minute
movie. Or download our data sheets, case studies and guides.
Click the following links to learn more about the other services we offer: