Put Your Clinical Expertise to Work Beyond the Clinical Setting

Join our elite team of specialists on our medical review panel.

Healthcare’s Leading Medical Review Specialists

MRIoA partners with a nationwide network of board-certified physicians and professionals in clinical practice covering over 150 specialties and subspecialties of medicine to review prior authorizations, appeals and a variety of other healthcare and pharmacy claims to determine treatment appropriateness.

Our panel of reviewers renders a professional, independent and unbiased opinion, citing medical literature and treatment guidelines. The goal of these reviews is always to deliver the “right care, at the right time, in the right place” for the patient.

Committed to Quality, Security, and Performance

Pharmacy & Health Initial Reviews

Assess the appropriateness and necessity of medications, treatments, and healthcare services.

Pharmacy Specialty Appeals

Assess medication-related appeals to determine the appropriateness of the requested medications and treatment plans, ensuring compliance with clinical guidelines, medical literature and/or policy criteria.

Health Specialty Appeals

Review appeals related to various healthcare services to assess the medical necessity and appropriateness of requested treatments and procedures, based on clinical guidelines, medical literature and/or policy criteria.

Second Opinion Reviews

Offer independent and objective evaluations of medical cases, providing alternative viewpoints on diagnoses, treatment plans, and options to empower patients and healthcare providers.

Quality of Care Reviews

Evaluate medical records regarding healthcare services provided to ensure they meet established quality standards, identify areas for improvement, and promote safe and patient-centered care delivery.

Disability Reviews

Conduct detailed assessments of medical records as they apply to plan definitions of disability to determine eligibility and levels of disability benefits, providing fair and accurate evaluations.

Clinical Validations

Ensure the accuracy of each diagnosis or procedure documented/billed based on the documentation within the health record, ensuring it is supported by clinical evidence in the medical record.

Coding and Fee Analysis

Ensure accuracy and compliance in medical billing codes and fees through comprehensive assessments, promoting transparency and fair reimbursement for healthcare services provided.

Clinical Peer Review

Comprehensive evaluations of medical cases, undertaken by seasoned medical professionals, to determine the medical necessity and appropriateness of healthcare services.

Special Investigations (F/W/A)

In-depth investigations focused on potential Fraud, Waste, or Abuse (F/W/A) in healthcare, ensuring transparency, legality and adherence to standards.

Peer-to-Peer

Collaborative discussions between treating physicians and expert medical peers to share insights, clarify clinical information and ensure optimal patient care.

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“MRIoA goes out of its way to make the review process as efficient and least burdensome as possible while upholding high standards of quality and professionalism. Staff are very courteous and helpful. When needed the medical directors provide guidance on reviews without influencing the determination. My opinion is respected.”
Pediatric Pulmonology Reviewer

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“I love doing reviews for MRIoA! The platform is very easy to use, although the answers to the questions are not always black or white. The cases are interesting so far and I’m learning information I would otherwise not have been exposed to.”
Internal Medicine Reviewer

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“The review team is patient and answers questions in a timely manner. It is nice to have a job with flexible hours and availability that can provide extra income.”
Otolaryngology Reviewer

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“I have learned a lot about how insurance companies work which has allowed me to better document my encounters when I am trying to help a patient get coverage for a medication.”
Dermatology Reviewer

900

clients

2.4

million reviews per year

150

specialties

99

% quality

98

% TAT

Our Physician Reviewers are entrusted to apply their specialty expertise exclusively to cases within their own field, ensuring their knowledge is valued where it matters most.

Acupuncture
Addiction Medicine
Allergy
Allergy Pediatric
Anesthesia
Anesthesia/Pain Management
Audiology
Bariatric Surgery
Bcba (Behavioral Analyst)
Cardiology
Cardiology Pediatric
Cardiothoracic Pediatric
Cardiothoracic/Cardiovasc Surg
Chiropractic
Critical Care Medicine
Dentistry
Dentistry Periodontics
Dermatology
Dermatology Mohs
Emergency Med
Endocrinology
Endocrinology Pediatric
Endodontics
Facial Plastic Recon Surgery
Family Practice
Gastroenterology
Gastroenterology Pediatric
General Surgery

General Surgery Colorectal
General Surgery Pediatric
Genetics
Geriatrics
Hand Surgery Orthopedic
Hand Surgery Plastic
Hematology
Hepatology
Infectious Disease
Infectious Disease Pediatric
Infertility
Internal Medicine
Maternal/Fetal Medicine
Maxillofacial Surgery
Medical Toxicology
Neonatology
Nephrology
Neurology
Neurology Pediatric
Neuro-oncology
Neuropsychology
Neurosurgery
Neurosurgery Pediatric
Ob/Gyn
Ob/Gyn Infertility
Ob/Gyn Oncology
Occupational Medicine
Occupational Therapy
Oncology

Oncology Pediatric
Oncology Radiation
Oncology Surgery
Ophthalmology
Oral Surgery
Orthodontics
Orthopedic Back Coding
Orthopedic Coding
Orthopedics
Orthopedics Back
Orthopedics Foot
Orthopedics Knee/Shoulder
Orthopedics Pediatric
Osteopath
Otolaryngology
Otolaryngology Head-neck Surg
Otolaryngology Pediatric
Pain Management
Pathology
Pediatric Critical Care
Pediatric Intensive Care
Pediatrics
Pharmacist
Physical Med/Rehab
Physical Med/Rehab Pediatric
Physical Therapy
Plastic Recon Surgery
Plastic Surgery

Podiatry
Preventive Medicine
Prosthetics
Psychiatry
Psychiatry /Addiction
Psychiatry Child/Adol
Psychology
Pulmonology
Pulmonology Pediatric
Radiology
Reproductive Endocrinology
Rheumatology
Sleep Specialists
Speech Pathology
Sports Medicine
Thoracic
TMJ
Transplant
Transplant / Blood,Bone Marrow
Transplant / Heart/Lung
Transplant / Kidney
Transplant / Liver
Transplant / Pancreas
Transplant / Pediatric
Transplant Cardiology
Trauma Surgery
Urology
Vascular Surgery
…and More…

Join the MRIoA Medical Reviewer Panel

As an MRIoA Reviewer, your clinical expertise matters. You'll continue practicing in your specialty while reviewing cases nationwide, but from the comfort of your home or office. You'll provide unbiased guidance on prior authorizations and appeals, aligning with ERISA/DOL and/or regulatory requirements. Be part of a respected network that values your knowledge and impact.

Learn More

Diverse Experience and Continuing Education

See a wide variety of cases within your specialty area, often expanding on what one might see in their day-to-day practice.

Contribute to Quality Care

Contribute to ensure that patients receive appropriate and medically necessary care to prevent overutilization or underutilization of services and promote evidence-based medicine.

Impact on Policy & Procedure

Have a direct impact on insurance policies and healthcare guidelines that can help shape the broader healthcare landscape.

Personal Growth & Development

Gain perspective and understanding of the administrative side of healthcare while building upon critical thinking abilities.

Reviewer Credentialing & Onboarding

Once our team receives your completed application, it will be processed and reviewed by our Credentialing Committee for approval. After approval, your credentialing is complete.

Drive Cost Savings and Elevate Patient Care

Meet with one of our experts to get started.