Health Plans

Holding healthcare to the highest standards of quality and integrity.

MedReview maintains a strong relationship with many of the best-known insurance companies around the country, providing a full suite of proven solutions for payment integrity, utilization management and quality management.

Committed to delivering industry-leading results for our clients, we have the clinical expertise, coding experience and analytical capabilities to help insurance plans identify immediate and long-term opportunities to improve performance and uncover incremental savings.

Markets Health Plans
Markets Health Plans
Markets Health Plans

Providers recognize the skill and experience our clinicians bring to the healthcare space, which is why health plans count on us to deliver more defensible reassignments with little to no provider abrasion.

Similar to the claims review process, a CMS – RAC (Review Audit Contractor) conducts to identify and correct overpayments as part of Medicare’s Fee for Service Recovery Audit Program, MedReview offers comparable services for Medicare Advantage plans.

With an appeal overturn rate of less than 5% and a reassignment rate of more than 40%, last year we saved our clients

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