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Clinical Review and Utilization Partnerships

Strategic Partnership and Clinical Expertise to Help Your Organization Thrive

Clinical Guidance to Help You Grow

MRIoA creates strategic partnerships with organizations who need high quality outsourced clinical guidance to help them scale their operations and promote the highest quality of care.

MRIoA’s Accreditations, Certifications and Memberships

URAC – HUM

URAC is a non-profit independent accrediting agency that is known as a leader in promoting healthcare quality. Accredited organizations demonstrate a commitment to quality and excellence with consistent compliance with best practices. MRIoA holds URAC accreditation in Health Utilization Management (HUM).

URAC – IRO

URAC’s Independent Review Organization (IRO) accreditation standards validate that third-party organizations providing medical determinations are committed to a fair and impartial peer review process for both patients and physicians. MRIoA holds URAC accreditation in Independent Review Organization (IRO).

NAIRO

NAIRO (National Association of Independent Review Organizations) is a national trade association of URAC-accredited IROs whose primary mission is to protect the integrity of the independent review process.

HITRUST

HITRUST (Health Information Trust Alliance) has developed the HITRUST CSF, a certifiable framework that provides organizations with structure and clarity relating to healthcare industry information security. HITRUST certification signifies commitment to ongoing IT security.

NCQA – UM

NCQA is a non-profit organization dedicated to improving healthcare quality. The NCQA seal is a widely recognized symbol of quality. MRIoA is NCQA accredited in Utilization Management (UM).

SIIA

The Self-Insurance Institute of America, Inc. (SIIA) is a member-based association dedicated to protecting and promoting the business interests of companies in the self-insurance and captive insurance industry such as TPAs, Captive Managers, Excess/Stop-Loss Carriers and others.

AICPA SOC

SOC for Service Organizations reports are designed to build trust and confidence services performed and controls employed through a report by an independent CPA and validation that the systems used to process users’ data maintain the confidentiality and privacy of information

Best Places to Work

MRIoA earned the 2024 Top Workplaces USA award, issued by Energage. Top Workplaces USA offers national recognition for large organizations with more than 150 employees operating in multiple markets. This award is in addition to our Top Workplaces Salt Lake City award received every year since 2018.

CAHP

CAHP works to sustain a strong environment in which our member plans can provide access to products that offer choice and flexibility to the Californians they serve. Most of our member plans provide coverage to Californians through the individual and group markets.

TAHP

Texas Association of Health Plans (TAHP) is the statewide trade association representing health insurers, Medicaid plans, Medicare Advantage plans, and other related healthcare entities operating in Texas.

Top Workplace for Remote Work

MRIoA is a recipient of the 2024 Top Workplaces for Remote Work award, featured by Monster, a global leader in connecting people and jobs, and awarded by Energage, a purpose-driven organization that builds and brands employers of choice, determines the awards through an employee survey.

Itiliti Health

Itiliti Health’s best-in-class technology leverages AI and automation to accelerate communication between payers and providers, creating a touchless prior authorization solution that applies the right medical policies while helping to automate prior authorizations quickly, securely and cost-effectively.

Specialty Matching Capability

MRIoA can match a specialist to almost any required capability our partners require. To review the list of capabilities we support, please visit:  https://www.mrioa.com/future-of-utilization-management/

Drive Cost Savings and Elevate Patient Care

Experience valuable data insights, cost savings, and faster decision-making with our innovative technology and patient-centered approach.
A ClearPath to Clinically Relevant Simplicity.

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