Solutions
Focused independent medical review for health plans, TPAs, and partners across the U.S. — built to do the core work well from day one.
Impartial review of utilization decisions against the clinical record and applicable standards of care. Determinations are documented with clear clinical rationale — free from volume targets or outcome incentives.
Cases routed to clinicians whose specialty aligns with the clinical question — not a one-size panel. We are building a specialty-matched reviewer network nationwide to deepen coverage over time. We do not claim inflated headcounts or a finished national panel we do not yet have.
Structured, appeal-ready determinations with written rationale suitable for plan processes and external review pathways. Support for partners who need independent clinical input on contested utilization decisions.
Cloud workspace designed for case intake and status tracking. Protected health information is accepted only after Google Cloud BAA and MFA are active — never via public email or fax.
Introductions and operational questions use non-PHI channels. Case materials and PHI go only through the secure portal once Cloud BAA and MFA are live. We do not invent turnaround percentages or network-size metrics — those will appear when they are real.