For High-Quality, Defensible Medical Necessity Determinations, Choose MedReview

MedReview

MedReview is AllMed's in-depth medical review product for health plans and medical management organizations that provides evidence-based determinations by applying your medical policy and published clinical criteria.

All cases are reviewed by AllMed’s team of in-house physicians and a panel of over 400 Peer Specialists who are licensed, board-certified and in active practice. We cover over 80 ABMS specialties and sub-specialties and provide comprehensive coverage of in-state licensure requirements.

Each MedReview Report covers the following standard elements:

  • Materials Reviewed
  • Summary of Clinical Course
  • Response to Referral Questions (Determination)
  • Rationale
  • References

MedReview can be flexibly used for a variety of needs including: pre-authorizations, appeals, length of stay, provider quality of care, disability, and fraud reviews. 


MedReview is deployed through PeerPoint®, our state-of-the-art online medical review portal, which allows you to send, track and receive cases electronically while meeting the highest information security standards.

 

Want to learn more? Download our brochure.


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