OUR SERVICES

Medical Review Institute of America (MRIoA) delivers technology-enabled review services that increase member satisfaction, decrease the costs of overutilization, provide benchmarking analytics and empower members by offering them alternative choices through patient-focused virtual second opinion services.

CLINICAL AND
UTILIZATION REVIEW

Medical Review Institute of America (MRIoA) provides objective clinical and utilization reviews leveraging evidence-based medicine. Our reviews increase the quality of care for members, so your healthcare organization can reduce costs while managing overutilization.

Learn More

MYCARECHOICES™
YOUR 2ND OPINION

Empower patients with choices by providing evidence-based, reliable second opinions from medical specialists, including those from world-class institutions while saving up to $800,000 per 100,000 members for healthcare organizations and self-insured employers.

Learn More

MRIOA INSIGHTS™ UM BENCHMARKING ANALYTICS

With MRIoA’s real-time utilization management benchmarking analytics, you can deepen your understanding of the effectiveness of your process with analysis of prior authorizations (PAs), appeals, overturns and procedure cost.

Learn More

WHO WE SERVE

PATIENTS

Get Started

HEALTH PLANS

Get Started

PHARMACY BENEFITS MANAGERS

Get Started

THIRD PARTY ADMINISTRATORS

Get Started

GOVERNMENT

Get Started

SELF-INSURED EMPLOYERS

Get Started

WHAT OUR CLIENTS SAY

“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 and 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

600

PHYSICIAN AND ALLIED HEALTH REVIEWERS

150

SPECIALTIES

30

MDs/DOs ON STAFF

20

INTERNAL SPECIALTIES

25

NURSES ON STAFF

20

PHARMACISTS ON STAFF

Physician

Licensure

IN ALL
50 STATES

MRIOA Logo

| Your Trusted Partner for Clinical Guidance

Industry-Leading
Turnaround Times:

You Ask, We Deliver

RESOURCES

As an industry leader in clinical review services based on evidence-based medicine, part of our mission is to provide our clients and the larger medical community with educational resources on technology, procedures, compliance and other healthcare topics. You can explore our webinars, articles and resources here.

10/18/2021 in Webinars

Using Virtual 2nd Opinions to Increase Member Engagement and Decrease Healthcare Costs Virtual 2nd opinions use evidence-based medicine to educate members.

Register
View More
10/07/2021 in Blog

Why Health Plans and Employer Groups Should Embrace Obtaining a Second Opinion

Click here: https://hceg.org/why-health-plans-and-employer-groups-should-embrace-obtaining-a-second-opinion/
View More
10/04/2021 in News

Medical Review Institute of America (MRIoA) Sponsors AMCP Nexus 2021 Annual Conference

Medical Review Institute of America (MRIoA) is excited to sponsor the AMCP Nexus 2021 Annual Conference. During the conference, MRIoA will be available to talk about being an integral, dedicated…
View More

COMPLIANT IN ALL 50 STATES

The MRIoA Compliance Program proactively tracks applicable state and federal laws and regulations, and identifies and resolves issues to ensure compliance with all state and federal requirements.