Established certified

Physician peer reviews nationwide

Medical Review Institute of America, LLC (MRIoA) is an independent review organization providing medical peer review resources for clients nationwide.

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An Extensive Specialty Matched Review Network

For over 30 years, MRIoA has perfected the medical review process to meet your external review needs. We offer one of the largest, most extensive review networks and provide services within the following:

Group Health

Our reviews are thoroughly researched, summarized and supported to help personnel reach sound decisions.

Group Health
Pharmacy

We process a high volume of pharmacy cases at all levels of review for some of the nation’s largest pharmacy benefits managers.

Pharmacy
Utilization Management

MRIoA can assist with your UM process. We have large panel of nurses and medical directors that are here to help you.

Utilization Mgmt
Workers’ Comp

As a URAC accredited organization our reviews provide evidence-based determinations that are sound and defensible.

Worker's Comp

Balanced, decisive and well-supported expert review services

MRIoA ensures clinically appropriate healthcare coverage determinations. We show our dedication to client satisfaction through attention to personal customer service, thorough quality assurance, quick response times, and constant innovation.

About MRIoA

Proactively Ensuring Compliance

MRIoA approaches compliance developments with innovation and flexibility, both in our processes and our products as we stay abreast of the legislative changes and new regulations. We proactively track applicable state and federal laws and regulations to identify upcoming changes and ensure ongoing compliance.

Compliance
Client Satisfaction Rating
97
Reviews Completed
3.6
Quality, Innovation, and Experience: Setting Us Apart

Fast response time. High quality nationwide medical reviews. Exceptional customer service.

MRIoA Advantages
Hear it from our clients

MRIoA is The Solution

“MRIoA has always been my first choice for peer reviews, UCR assistance, and plan language interpretation regarding clinical. The reviews are easily understood, and the clinicians always answer all questions that are posed for review.”

- Supervisor at a Nationwide TPA

“I have always had a great experience with MRIoA. The staff members are the experts in their positions. Absolutely one of the best companies for communication and problem solving and correcting/clarifying outcomes. Always receive updates and the staff is wonderful to work with.”

- Case Manager at a Medical Management Organization

“Management is responsible for employee attitudes. Your employees have been nothing but professional, friendly, and always aim to respond to my questions in a timely manner. I appreciate that every bit as much as I appreciate the quality of the reviews. Kudos to management and kudos to staff.”

- Claims Specialist at an Insurance Provider

“Your staff is extremely easy to work with, gracious, follows up appropriately and responds quickly. It's wonderful to work with your company in an age where customer service is dead/dying! I have always been a strong advocate of excellent CS, so it's great to see elsewhere! I'm very happy with the review process and format in which the review is provided.”

- Claims Manager at an Insurance Benefit Administration Company

“Positive attitude, turnaround time, & completeness of reviews. I truly appreciate our relationship with your company. I have been very impressed with overall responsiveness and the ability to develop unique solutions for customers without a great deal of hassle for the customer.”

- Director of Medical Management at a Non-profit Health System

Make the Move Today!

Reach out to our Marketing team to discuss your review needs.

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