MRIoA helps government entities improve member outcomes, meet their quality metrics goals and ensure payment integrity by providing thorough, professional clinical and utilization review services and appropriate utilization analytics.

Our deep experience in the clinical review business and our belief in evidence-based medicine helps us maintain premier service standards, and our team is committed to staying ahead of the curve. We constantly assess and reassess our procedures and technology to provide maximum quality, efficiency and value to our clients.

We serve all lines of business, including Medicare, Medicaid, Duals, State and Federal entities.

SERVICES FOR GOVERNMENT

Clinical and Utilization Reviews

  • Initial Reviews
  • Appeals
  • Allied Reviews
  • Dental Reviews
  • Quality of Care Reviews
  • Special Investigations Unit (Fraud, Waste and Abuse)
  • Diagnosis-Related Group (DRG) Clinical Validation Review
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MRIoA Insights™ UM Benchmarking Analytics

Deepen your view of prior authorizations (PAs) and appeals by comparing industry-level denial and overturn rates.

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REVIEWER PANEL

With the largest, most extensive review network in the industry, multiple accreditations, UR licensing in all states that require it, and industry-leading turnaround times on qualified reviews, MRIoA’s professionalism, enthusiasm and collaborative approach are transforming healthcare.

600

PHYSICIAN AND ALLIED HEALTH REVIEWERS

150

SPECIALTIES

30

MDs/DOs ON STAFF

20

INTERNAL SPECIALISTS

25

NURSES ON STAFF

20

PHARMACISTS ON STAFF

Physician

Licensure

IN ALL
50 STATES