SERVICES

Medical Review Institute of America (MRIoA) is the market leader for independent utilization review and clinical review solutions.

For health plans, PBMs, TPAs, government entities and self-insured employers, we transform the member experience by providing trusted clinical guidance, virtual 2nd opinions and appropriate utilization analytics that save money and empower the member.

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CLINICAL AND UTILIZATION REVIEW

With our nationwide reviewer panel of over 600 reviewers from 150 specialties, MRIoA provides independent clinical and utilization review services that help health plans, PBMs, TPAs and government entities improve quality of care for patients and reduce healthcare costs.

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SECOND OPINIONS

MyCareChoices™ – Your 2nd Opinion, powered by MRIoA, protects against misdiagnosis and suboptimal treatment plans by providing your members fast, virtual access to second opinions. This second opinion solution is seamless to implement as part of your standard PA process.

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MRIOA INSIGHTS™ UM BENCHMARKING ANALYTICS

Our utilization management benchmarking analytics help you better manage your organization’s prior authorization (PA) process by comparing industry-level denial and overturn rates.

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News
10/04/2021

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…
News
09/14/2021

Medical Review Institute of America (MRIoA) Sponsors Self-Insured Institute of America (SIIA) Annual Conference

September 14, 2021 Medical Review Institute of America (MRIoA) Medical Review Institute of America (MRIoA), a proud member of SIIA, is excited to sponsor the upcoming 41st SIIA Annual National…
News
09/14/2021

Medical Review Institute of America (MRIoA) Sponsors California Association of Health Plans (CAHP) Annual Conference

September 14, 2021 Medical Review Institute of America (MRIoA) Medical Review Institute of America (MRIoA) is excited to sponsor the 2021 CAHP Annual Conference. During the conference, MRIoA will be…
News
06/24/2021

Medical Review Institute of America (MRIoA) Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

Medical Review Institute of America (MRIoA) Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements HITRUST CSF Certification validates Medical Review Institute of America (MRIoA)…
News
06/07/2021

Medical Review Institute of America, LLC (MRIoA) Welcomes Accomplished Physician and Executive as Chief Medical Officer

Dr. Craig Hersh will drive all clinical aspects to help MRIoA be the preferred technology-enabled provider of clinical insights to payers and patients. MRIoA empowers better decisioning through analytics, and…
News
03/31/2021

Medical Review Institute Of America (MRIoA) Recently Held Its Bi-Annual Executive Client Council (ECC)

March 31, 2021 Medical Review Institute of America (MRIoA) recently held its bi-annual  Executive Client Council (ECC). The invitation-only Council is comprised of healthcare’s most influential executives and collectively represents…
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