Medical Record Review
The Affordable Care Act established protections that require virtually all insured and self-insured health plans to have provisions to provide an independent external appeal of their determinations that care is not covered. Is your plan in compliance?
Our panel of 100 professional reviewers, including nationally recognized experts and non-physician professionals, means we match the right specialist to the case. The result is a sound, well-supported determination for every type of care, including experimental and investigational treatment. We understand that every independent review program is different, customize our processes to meet your requirements, and offer solutions that simplify program administration while promoting enrollee satisfaction.
HQI is fully URAC accredited as an Independent Review Organization.
Contact us today for a complimentary, no-obligation consultation.