IMPROVING HEALTHCARE TOGETHER

Tailored utilization management and independent review organization services provide the informed guidance payers need to deliver determinations with confidence.

WANT TO BE PART OF OUR REVIEWER PANEL?

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

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

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