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Downloads for Payers

Useful downloads for healthcare payers and medical management companies, these articles (pdf) offer a variety of guides, suggestions and parameters for using--and getting the most of out--an independent review organization. Read case studies, utilization review guides and more.

AllMedMarketingPage The Cutting Edge V2I2 Oncology Edition
Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.
AllMedMarketingPage Independent Medical Review Case Study
Discover how one Healthcare payer uses AllMed to help independently scrutinize their complex and questionable cases while maintaining quality and ensuring that patients are receiving the best possible care.
AllMedMarketingPage Disability Claims Review Data Sheet
Ensure your claimants get the coverage they deserve with independent medical review to reduce claims costs and makes the fair decision, every time.
AllMedMarketingPage The Cutting Edge V1I1
Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.
AllMedMarketingPage The Cutting Edge V2I1
Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.
AllMedMarketingPage Utilization Review Guide
Sorting Out the Patient Care Puzzle: The Role of IROs and Medical Management Companies
AllMedMarketingPage Utilization Review Case Study
Learn how a leading medical management organization met the challenges of finding specialists that met state licensure requirements and increasingly strict state regulations by outsourcing to AllMed.
AllMedMarketingPage Independent Medical Review Data Sheet
AllMed Healthcare Management provides medical review solutions that accelerate pre-authorizations, claims and appeals and that reduce costs for health insurance carriers, medical management, TPAs and stop-loss organizations. Our outsourcing solutions cover a spectrum of needs, including first-level pre-authorizations, complex and critical claims, appeals, medical director services and staffing services.
AllMedMarketingPage IRO's Help Meet Rigorous State Appeals Guidelines
Case Study of HealthGuard of Lancaster, Inc.
File American Health Holding Case Study
Working with AllMed helped American Health Holding provide medical management services in a time and cost-efficient manner.
File Q-elements Case Study
AllMed's staff makes sure that payers, like Q-elements, that process over 300 pre-authorizations a month, meet compliance standards.
File Capital BlueCross Case Study
To help ensure the best possible care for patients, Capital BlueCross sends complex and questionable review cases to AllMed to be objectively scrutinized.
File How IROs Keep Costs Down
Save money by outsourcing reviews to Independent Review Organizations. Read how IROs keep costs at a minimum.
File Utilization Review Guide
Learn answers to commonly asked questions and information on the relationship between an IRO and MMC.
File Independent Medical Review Services
AllMed Healthcare Management provides fast, unbiased, responsive review that is cost-effective and URAC-certified for a variety of healthcare fields.
File Disability Claims Management Services
Using an Independent Review Organization (IRO) can help reduce claims cost through time-efficient review strategies.
AllMedFile Medical Review Standards Guide
 
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