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.
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.
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.
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.