Independent Appeals

The informed guidance you need, delivered to the standards you expect

Specialty-Matched Independent Appeals

Some organizations use internal physician advisors and Medical Directors for managing first and second-level appeals. However, with more pressure to reduce costs, improve quality, and avoid conflicts of interest, they are increasingly turning to AllMed to manage these clinical decision-making processes. By leveraging our Independent Review Organization (IRO) services, it allows you to focus on your core competencies while relying on us to support your clinical decision making. AllMed is expertly equipped to manage the rigorous tasks of physician specialist credentialing, performance management, quality oversight, and scalability that is needed in today’s hyper-competitive landscape.

All reviews are conducted by board-certified specialists and sub-specialists who are in active practice. Each appeal review is performed in compliance with URAC, NCQA, CMS, state, and other federal regulations, which are subject to oversight and audit through our Quality and Compliance programs.

Authorizations and appeals

MedReview

Independent medical reviews for complex specialty-matched prior authorizations 

Superior Quality That Makes a Difference

All of our services are deployed through PeerPoint, AllMed’s advanced medical review portal, which embeds healthcare intelligence and automation tools that produce the highest quality reviews at industry-leading turnaround times and costs.

But what really makes us different is our people. Our commitment to consistently exceeding our clients’ expectations through everything we do, is why AllMed’s clients remain loyal partners, year-after year. This is because of the special care we take to recruit the highest quality talent as well as train, grow and engage them in our Lean management system. As a values-based company that puts culture first, our employees care deeply about each member’s health and about delivering the highest quality care.

Reach Out

Interested in our review services?

Whether you need specialized expertise or added review capacity,
we’re here to help with customized services that fit your exact needs.

Accreditations