MRIoA Insights™ UM Benchmarking Analytics is the only utilization management data solution on the market to help you better manage your prior authorization (PA) process by comparing industry-level denial and overturn rates. Utilizing one million UM case benchmarking data sets across 150 specialties, we help health plans, PBMs, TPAs, government entities and self-insured employers improve the effectiveness of Prior Authorization programs.

700

PHYSICIAN AND ALLIED HEALTH REVIEWERS

150

SPECIALTIES

35

MDs/DOs ON STAFF

20

INTERNAL SPECIALISTS

25

NURSES ON STAFF

45

PHARMACISTS ON STAFF

Physician

Licensure

IN ALL
50 STATES

TO SEE A LIST OF THE PRESTIGIOUS UNIVERSITIES WHERE OUR MEDICAL PROFESSIONALS HAVE STUDIED AND PRACTICED:

“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 and 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
Webinars
04/12/2022

Texas Gold Card Webinar

How are you handling the Texas Gold Card Regulation Recently Enacted? Join MRIoA
News
03/29/2022

Medical Review Institute of America (MRIoA) Sponsors 2022 National Summit

Medical Review Institute of America (MRIoA) is excited to sponsor the Blue Cross Blue Shield 2022 National Summit. Stop by MRIoA’s booth 833 to talk about the recent mandatory regulatory…
Case Studies
03/01/2022

Mrioa drives result

5 Leading Health Organizations Improve Quality of Care & Reduce Healthcare Costs with Independent Utilization & Clinical Review