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Real Time Benchmarking, Actionable Insights

Deepen Understanding to Improve your Prior Authorization Process

Rely on Data and Benchmarking to
Drive Clinical Care and Business Decisions

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.  Leveraging utilization management analytics and  industry benchmarking, our clients are able to drive better clinical care and informed business decisions.

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 their Prior Authorization programs.

6,000+ Procedures Standardized by CPT/HCPCS®
Segmentation by Cost, Volume, NPI, Site of Care and Region/Zip Code
163M Unique Utilization Data Elements
MyCareChoices Patient Propensity to Engage Model

The MRIoA Insights Data Platform

Gain access to our proprietary data warehouse covering 220 million lives and 40 years of medical review outcomes. Deepen your view of prior authorizations and appeals by comparing industry-level denial and overturn rates and much more.

 Optimize Prior Authorizations With Benchmarking & Analytics

Guaranteed ROI

It’s simple.  We guarantee that our PA services will save you money.

Patient Education Portal

Empowered and educated members can be part of the solution by understanding denials and exploring their treatment options.

Tech-Powered Decisions

Powered by MRIoA Insights™, our PA Optimization Platform auto-reviews charts, identifying opportunities.

$1.7M Savings Annually

7:1 ROI

Per 100k Lives

Savings From Year Zero Baseline:

Total 3-Year Savings: $10M

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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