Tailored utilization management and independent review organization services provide the informed guidance payers need to deliver determinations with confidence.
Utilization Management and Independent Review Organization 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
Initial Clinical Review
Timely, accurate utilization reviews to help you scale quickly to meet fluctuating demand
WHO WE SERVE
A wide variety of payer 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.
Commercial
Health Plans
Third Party
Administrators
Pharmacy
Benefits
Managers
Managed Care
Organization
Medicare
and Medicaid
SPOTLIGHT ON INITIAL CLINICAL REVIEW SERVICES
INITIAL CLINICAL REVIEW SERVICES
This new review service from AllMed helps you scale quickly and efficiently when prior authorization, concurrent review or RN staffing levels fluctuate. Partnering with us on utilization reviews gives you the ability to manage these critical functions with greater agility and cost-effectiveness.
“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
