Independent Medical Reviews With A Fast,
Efficient Case Submission Process!

Through customized medical review solutions for utilization management and appeals, AllMed provides organizations the informed guidance they need to deliver determinations with confidence.

Want to be part of our reviewer panel?

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

Spotlight on Nurse Review Services

Nurse 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