AllMed offers leading health plans access to an extensive panel of physicians and registered nurses to review prior authorizations or appeal claims. We take time to understand your processes so that we can become an effective extension of your team.
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 HEALTH PLANS
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.
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.
These comprehensive, high-quality reviews follow federal and state regulations and are monitored and managed through our in-house compliance program.