Who we serve

The questions of fairness, equity, and clinical accuracy pose some of the biggest challenges in case adjudication. Health, Work Comp, Pharmacy and Disability organizations want to provide appropriate medical treatment while controlling costs and managing utilization.

As "America’s External Peer Review Company" MRIoA is dedicated to giving an accurate, impartial evaluation of benefit determinations. MRIoA guarantees that every case reviewed will be done in a high quality, timely and objective manner.

MRIoA delivers external physician review to:

• Health plans and Work Comp Carriers searching for review resources with the national quality credentials and processes to produce reliable and defensible appeal and clinical reviews.
• Self-funded organizations looking for clinical assessment of medical conditions and appeal review needed to comply with ERISA and other regulations.
• Pharmacy and Disability organizations concerned about complying with state and federal regulations requiring external review.

In addition, MRIoA also works to serve:

• Employers and Union Trust Funds wanting to verify the appropriateness of coverage denials.   
• Claims processors attempting to review seemingly excessive or inappropriate treatment.   
• Organizations motivated to avoid improper denial of appropriate coverage.