Transformational
Utilization Management
Getting patients answers faster
MRIoA helps payers, pharmacy benefit managers, and TPAs provide appropriate and cost effective services while moving decisions closer to the point of care
Target Areas of
Overutilization

Ensure appropriate care and cost

As an extension of your team, MRIoA uses our vast clinical depth and experience to reduce your expense by targeting overutilization with our specialty solutions
Data Analytics
See a full data view of your UM process
MRIoA can help you identify ways to improve your Utilization Management process from the initial prior authorization through the appeal using our proprietary appropriate utilization data analytics
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Utilization Management Solutions customized to your needs

For over 30 years, MRIoA has perfected the medical review process to meet your outsourced review needs across the entire utilization management continuum. Not only do we provide industry-leading turnaround time compliance, but are also able to provide many review services within 4 hours, giving the patient the best independent opinion quickly.

Who We Serve

Health Plans

Reduce your costs by leveraging our 500+ panel of MD specialists to offload your Initial Reviews, Appeals, and External Reviews

Health Plans
Pharmacy Benefits Managers

We perform over one million reviews per year; gain the capacity you need by utilizing our efficient operations and clinical expertise

PBMs
3rd Party Administrators & Self-Insured

We are URAC and NCQA accredited and offer evidence-based review services to keep your operations running smoothly

TPAs
Specialty Benefits Managers

Let us add capacity and speed to your utilization management process so you can focus on what matters most, the patient

Specialty Benefits

A Trusted Partner

Client Satisfaction Rating
97
Reviews Completed
4.9
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

See how we can reduce your utilization costs

Reach out to our Sales team to discuss your review needs

Improve your process today!