AllMed Healthcare Management
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MedReview

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For pre-authorizations, continuation of care, appeals, provider quality & more... 

 

For High-Quality Defensible Medical Necessity Determinations, Choose MedReview

MedReview is AllMed's in-depth medical review solution for health plans and medical management organizations that provides evidence-based determinations by applying your medical policy, plan language and published clinical criteria.

All cases are reviewed by AllMed’s panel of over 400 Peer Specialists who are licensed, board-certified and in active practice. We cover over 80 ABMS specialties and sub-specialties and provide comprehensive coverage of in-state licensure requirements.  Our in-house Medical Directors, staff physicians and clinicians provide clinical quality oversight on all reviews, ensuring consistent application of standards and your requirements to each case.

Each MedReview Report covers the following standard elements:

  • Materials Reviewed
  • Summary of Clinical Course
  • Response to Referral Questions (Determination)
  • Rationale
  • References

MedReview can be flexibly used for a variety of needs including: specialty-matched, pre-authorizations, appeals, length of stay, provider quality of care, disability, and fraud reviews.

MedReview is deployed through PeerPoint®, our state-of-the-art online medical review portal, which allows you to send, track and receive cases electronically while meeting the highest information security standards.

Want to learn more? Download our brochure.