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Retrospective Review Process

A system for analyzing medical necessity and appropriateness for services rendered. The process includes a review that is conducted after services are provided to a patient. The review focuses on determining the appropriateness, necessity, quality and rationality of health care services provided.

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AllMed Healthcare Management is a URAC-accredited Independent Review Organization (IRO) with an extensive, medical peer review panel comprised of more than 400 board-certified specialists from around the country, providing a high degree of interrater reliability. AllMed provides independent medical reviews and hospital peer review to healthcare organizations, insurance payers, medical managers, claims managers and third party administrators looking to control healthcare costs, while doing the right thing for patients every time.

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Retrospective Review Process

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