Skip to main content
Get the latest market insights and industry trends on Regulatory, Data, Pharmacy and Health   Register for the Upcoming Regulatory Round Table October 24, 2023   Listen to the latest podcast on GLP-1 Drugs

Helping Providers Deliver the Best Care for Patients

Evidence-Based Medical Reviews that Improve Patient Outcomes

Objective, Expert Medical Reviews, Gold Carding & Second Opinions

MRIoA brings significant value to providers through objective and expert medical reviews conducted by highly qualified and experienced healthcare professionals.  These reviews ensure independent assessment of medical cases, unbiased evaluations, and support quality assurance and regulatory compliance.  

By identifying potential gaps, we help providers enhance their practices.  We also alleviate administrative burdens, allowing providers to focus clinical and strategic initiatives.  Through peer-to-peer consultation, we foster collaboration and facilitate discussions on complex cases with experienced medical professionals who can assist in developing the right treatment plans.

MRIoA provides several key solutions beyond a standard medical review (i.e., Prior Authorization, Appeal or Federal External Review):

  • Peer-to-Peer connection with our physician specialists ensures medical reviewers have the latest information to support their case, ultimately helping providers deliver the best care for their patients.
  • Gold Carding services that enable providers to by-pass many prior authorizations processes with payers and drive speed of care for their patients.
  • Virtual 2nd Opinion services to further reinforce the diagnosis and provide as many treatment options to patients as possible.

MRIoA focuses on the following services that deliver value to healthcare providers:


Our holistic clinical and utilization reviews include: initial reviews, appeals, Federal and State external reviews, allied reviews, dental reviews, quality of care reviews, special investigations, DRG clinical validation and pharmacy reviews. Conducted by physician, pharmacist and nurse experts, our clinical reviews are delivered with world class speed, access, quality and simplicity. With the largest, most extensive review network in the industry, multiple accreditations, UR licensing in all states, and industry-leading turnaround times (TATs), partnering with MRIoA ensures appropriate care and positive patient outcomes.

Learn More
  • Initial Reviews
  • Appeals
  • Federal and State External Review
  • Allied Reviews
  • Dental Reviews
  • Quality of Care Reviews
  • Special Investigations Unit (Fraud, Waste and Abuse)
  • Diagnosis-Related Group (DRG) Clinical Validation Review
  • Pharmacy Reviews (Commercial, Medicare Parts B and D)
  • Specialized Reviews (Disability, Prudent Layperson, Workers Comp, etc)


MyCareChoices™ delivers a telehealth 2nd opinion from a MD specialist as part of the approved Prior Authorization process.  This enables the member to better understand their condition and treatment options, so they can make the best decision for themselves and their family. MyCareChoices™  delivers ~$800K per 100K members in savings by reducing unneeded procedures and requires no IT integration.

Learn More


Gold carding physicians involves granting certain providers the ability to bypass or streamline the prior authorization process based on their history of high-quality care and adherence to evidence-based guidelines. MRIoA’s solution eases the strain on internal staff, reduces cost and ensures the right care.

Learn More



Registration for Fall 2023 Regulatory Round Table Discussion

Welcome! You are invited to join a webinar: MRIoA Regulatory Round Table . After registering, you will receive a confirmation email about joining the webinar.

Trimming the Weight: Helping Healthcare Companies with the GLP-1 Drug Revolution Podcast

Listen to our newest podcast and learn more about the GLP-1 drug revolution.
At A Glance

Provider Gold Card

Learn how MRIoA can ease the burden of the new and existing Gold Card regulations.

Regulatory & Compliance Roundtable Discussion 2023

Download our latest bi-annual Regulatory Roundtable discussion where we discussed the pending and proposed legislation and other regulations across multiple states.

Why Delay?

Harness the power of an independent review to ensure evidence-based care and appropriate utilization of treatments.

All fields are required

First Name
Last Name

How Can We Help You?
Limited to 250 characters