Profile:
As an integrated medical review company, Advanced Medical Reviews delivers services to diverse managed care and workers' compensation clients including insurance companies, TPA, IPA, Medical Groups, MSO, PPO, HMO, and other managed care organizations. As a URAC accredited independent reviewer, this assures our client’s of Advanced Medical Reviews’ adherence to the industry’s most stringent protocols with respect to quality assurance, HIPAA compliance, PHI confidentiality and security.Our commitment is to provide everyone of our clients with a fully integrated, compliant, and cost-effective service emphasizing continuous quality improvement, innovation, and client satisfaction. With a dedicated medical management team and staff, we provide several medical review services that not only caters to medical necessity review types but to a variety of other specialty review such as: workers compensation, experimental/investigational, disability reviews, medical necessity, injury assessment, return to work potential, utilization reviews and more.

By developing innovative healthcare technologies, Advanced Medical Reviews delivers a single source solution for our clients' managed healthcare administration needs. Our quality improvement and compliance staff assists our clients to increase their operational efficiency through specialized reports, datamining, and technology integration.

We serve our clients by customizing the review services we offer. We understand that from state to state, from division to division, and from business unit to business unit, these customizations are what allow the individual sectors to succeed in delivering value to your clients. We customize everything from our portal to our review questions to our management reporting. We will work with you to build the customized programs and service offerings, while ensuring centralized controls, including: cost containment, quality control, and management oversight and reporting to guarantee your needs are met.

Product Classifications

Managed Care Services

Medical Services/Providers

Workers’ Compensation