MEDICAL REVIEW SERVICES

As a URAC accredited Independent Review Organization, MMRO demonstrates its commitment to quality and accountability of health care review services.  MMRO offers a variety of services and is known in the health care industry for high-quality medical reviews, utilizing an extensive network of medical experts and consistently responding to regulatory needs.

MMRO’s experienced and dedicated staff offers a variety of solutions for insurance companies, group health plans, third party administrators, employers, union-sponsored (Taft-Hartley) plans, attorneys, and government agencies seeking to control costs and promote positive outcomes.  

MMRO’s credentialed national panel of more than 700 physicians and other specialized reviewers represent virtually all major licensed practitioner categories per the American Board of Medical Specialties (ABMS). MMRO imposes stringent credentialing standards and maintains a well-trained and credible credentialing team to provide a medical reviewer network that is guaranteed to offer an unbiased, accurate, and credible review using evidenced-based medical criteria as the sole factor in the review process.


The following is a list of the medical review services available:

  • Prospective                   
  • Retrospective                 
  • Concurrent                      
  • Appeals   
  • Preauthorization/Precertification
  • Disability                        
  • Utilization Reviews
  • Peer to Peer Reviews

 

For professional
utilization management, external review and/or peer review services.