AllMed understands the importance of maintaining appropriate utilization of healthcare resources. We continually look for ways to reduce waste to continue to meet turn-around time and other compliance requirements while maintaining high-quality reviews.
Initial Clinical Review
Scale quickly and efficiently to meet changing demand for initial nurse prior authorization and concurrent reviews. Delegating these reviews to AllMed frees your clinical staff to focus on higher value-added initiatives.
Review Services for Benefit Carve Outs and Centers of Excellence
Flexible, evidence-based reviews, designed to meet your changing needs and ensure compliance with industry, state, and federal requirements while delivering members the highest level of appropriate care.
Physician Generalist Review
Nurse and physician prior authorizations, spanning from prospective, concurrent and retrospective review, augment your internal capabilities while containing costs.
Specialty Matched Prior Authorizations
Minimize the need for downstream appeals and costs with customized, specialty-matched authorization reviews. Draw on the expertise of our highly qualified physician peer reviewers for complex, evidence-based determinations.
High quality, evidence-based first and second-level reviews by specialists are delivered to the standards you expect and help your organization reduce costs and improve quality.
Comprehensive, high-quality reviews that follow federal and state regulations and are monitored and managed through our in-house compliance program.
Interested in using 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.