IMPROVING HEALTHCARE TOGETHER

AllMed’s customized clinical decision making and utilization management solutions reflect our commitment to end-to-end quality and excellence.

Utilization Management and Independent Review Services

We understand that cases are complex and highly individualized. We pay close attention to the nuances and human implications of each case as we partner with you to deliver high-quality, evidence-based reviews. Our flexible solutions are designed to meet your changing needs and ensure compliance with industry requirements.

FEATURED SERVICES

Utilization
Management

Evidence-based reviews to ensure the highest level of appropriate care

Prior
Authorization

Nurse and physician reviews to augment your internal capabilities

Specialist
Reviews

Specialized expertise for standard of care and complex procedures

Appeals

High quality decisions by specialists delivered to the standards you expect

External Appeals

Compliance-driven reviews that meet federal and state requirements

External Peer
Review

Unbiased peer reviews to improve physician performance and reduce risk

WHO WE SERVE

A wide variety of payer and provider organizations partner with AllMed. We take the time to understand each client’s internal processes so that we can become an effective extension of their team, freeing them to focus on strategic initiatives.

Health
Plans
Third Party
Administrators
Pharmacy
Benefits
Managers
Managed Care
Organization
Medicare
and Medicaid
Hospitals &
Provider Groups
WEBINAR

Top Utilization Review Challenges
An Expert Discussion

November 24, 2020, at 10 am Pacific / 1 pm Eastern

Dr. David Spiro, AllMed VP and Medical Director, will host a webinar with a panel of experts, including Dr. McKay Crowley, Sr Medical Director of Southwestern Health Resources, on the top utilization review challenges.

Join us to hear how your peers are addressing these challenges.

“As the healthcare landscape continues to change, AllMed and its industry solutions are playing a critical role in ensuring that patients receive the right care at the right time. Powered by clinical knowledge, technology, and innovation, we will continue to collaborate with our partners to drive value in healthcare.”

Maridy McGinnis CEO and President, AllMed Healthcare Management
JOIN US
Interested in joining our peer review panel?

Our commitment to the highest quality standards is rooted in our ability to engage excellent people.
If you are interested in joining our talented and diverse physician team, please contact us.

ACCREDITATIONS