Expertise, accuracy, and insight for evidence-based clinical reviews — when it matters most.
WHAT WE DO
Helping You Deliver Better Care Decisions with Confidence
For 40+ years, leading healthcare organizations have trusted MRIoA for evidence-based utilization management reviews to ensure care is appropriate, timely, and cost-effective.
Our unmatched clinical expertise, proactive regulatory guidance, and actionable insights give you clarity and confidence in every clinical decision.
Clinical Review Services
We offer independent, evidence-based reviews from a nationwide network of licensed physicians, nurses, and pharmacists. We deliver specialty-matched, timely assessments to support appropriate care, eliminate unnecessary costs, and enhance the decision-making process.
Clinical Solutions
Our configurable programs are designed to optimize utilization management — from prior authorization and specialty drug review to peer-to-peer consultation and appeals. Our solutions streamline operations, improve provider and member experiences, and reduce administrative burden.
900
clients
2.4
million reviews per year
150
specialties
99
% quality
98
% TAT
BENEFITS
Where Clinical Expertise Meets Operational Excellence
Provide Timely, Appropriate Care
Our nationwide specialist network and tech-enabled processes provide timely, evidence-based clinical reviews with precision and consistency — enabling confident decisions without delays.
Reduce Unnecessary Costs
Reduce unnecessary costs with evidence-based decisions that maintain quality of care — improving outcomes and delivering measurable savings.
Ensure Regulatory Compliance
Navigate evolving federal, state, and industry regulations with proactive guidance that reduces risk, supports audit readiness, and maintains stakeholder trust.
Improve Provider and Member Satisfaction
Reduce friction, foster trust, and ensure patients receive the right care with timely, consistent clinical reviews backed by evidence-based research.
Gain Clarity and Confidence in Every Care Decision
See how MRIoA’s trusted clinical reviews can help your team improve outcomes, control costs, and stay ahead of regulatory requirements.
WHO WE WORK WITH
The Choice of 900+ Healthcare Leaders
Evidence-based clinical reviews that enable timely, appropriate care — improving outcomes for members, providers, and payers.
Health Plans
Enhance the member experience with trusted clinical guidance, second opinions, and utilization analytics that reduce costs and improve care quality.
TPAs
Improve member outcomes, reduce medical and administrative cost, and increase satisfaction while ensuring regulatory compliance.
PBMs
Support effective, innovative care with clinical pharmacy utilization reviews and analytics that improve outcomes and reduce costs.
Government Entities
Ensure payment integrity, meet quality goals, and improve member outcomes with evidence-based reviews and analytics for government agencies and managed care plans.
Unions & Employers
Lower costs and increase member satisfaction with trusted clinical guidance, second opinions, and evidence-based treatment recommendations for self-insured employers, Taft-Hartley plans, and unions.
At-risk Providers
Improve quality, compliance, and outcomes with independent medical reviews that identify care gaps, reduce administrative burden, and enable peer-to-peer collaboration for ACOs and other at-risk provider groups.
Discover More of What We Do
Clinical Expertise
A nationwide reviewer network of 700+ licensed physicians across 150+ specialties, delivering fast, tech-enabled, evidence-based reviews trusted for accuracy and consistency.
Regulatory Guidance
Proactive compliance expertise to help navigate changing federal and state regulations, reduce risk, and maintain readiness.
Actionable Insights
Analytics and benchmarking data to uncover the root causes of high medical spend and unnecessary prior authorizations to improve outcomes, provider satisfaction, and member experience.