Utilization Management and Independent Review Organization (IRO) 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

Nurse Reviews

Scale quickly and efficiently by augmenting your authorization review capacity

Physician Generalist Authorization Reviews

Leverage on-demand capacity to relieve or backfill your medical directors

Specialist Authorization Reviews

Rely on specialist expertise to reduce overutilization and appeals

Specialty-Matched Complex Case Reviews

Specialized expertise for
standard of care and complex procedures

Independent Appeals

High quality decisions by specialists delivered to the standards you expect

External Appeals

Compliance-driven reviews that meet federal and state requirements

Who We Serve

A wide variety of organizations focused on managing healthcare services for their members 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 higher-value strategic initiatives.

Payer Organizations
Third Party
Commercial and
Self-Insured Health Plans
Benefit Carve Outs
and Centers of Excellence
Medicare and Medicaid
Managed Care Organizations
Pharmacy Benefit Managers

Spotlight on Behavioral Health Review Services

Behavioral Health Review Services

Meeting your members’ mental and behavioral health needs is more than just keeping pace with the escalating demand for behavioral health services, it’s also ensuring their needs are addressed at the right level of care in the most clinically appropriate way. With a nationwide network of practicing, board-certified psychiatrists and psychologists, AllMed can help your organization rise to the challenge. Learn more

“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.”

Jeff Card General Manager, 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.