Who we serve

Serving health plans and TPAs across the U.S.

Clear roles, documented independence, and channels that keep PHI off public email and fax. We describe audiences we are built to serve — not invented client logos or contract claims.

Health plans

Independent medical necessity and appeals support for medical directors and utilization management teams nationwide. Specialty-aligned clinical questions, documented COI screening, and written rationale on every determination — under MD Medical Director oversight.

  • Evidence-based review free from outcome incentives
  • Clear documentation suitable for plan processes
  • Non-PHI Contact for setup. Case files from authorized users go through the portal after MFA.

For payers — health plan review

Third-party administrators (TPAs)

A clinically independent partner for self-funded and fully insured book-of-business review workflows. Dual intake by design: administrative Contact for partnership, secure portal for case materials when PHI controls are live.

  • Consistent independence controls across books of business
  • Channels that keep PHI off public email and fax
  • Timelines confirmed at intake — no invented TAT %

TPAs — details

Self-funded employers

Impartial determinations that help plan sponsors meet fiduciary expectations. Physician-owned oversight and documented independence on every case — with written clinical rationale you can stand behind.

  • Fiduciary-friendly documentation posture
  • Specialty match under Medical Director accountability
  • Honest about what credentials we do and do not hold

Self-funded employers — details

Clinicians & reviewers

Specialty-matched clinicians interested in joining our growing nationwide reviewer network. Board-certified physicians and qualified reviewers — inquire through non-PHI Contact. See Specialties for current coverage truth.

  • Building panel — no inflated headcount claims
  • COI screening and independence expectations from day one
  • Do not send case PHI by email when inquiring

Clinicians and reviewers — details

Government & program partners

We are open to conversation with government and program partners who need independent clinical review capacity. We do not claim current contracts, awards, or program designations we do not hold.

For government

Not currently offered as active products

PBM-focused review and LTD / disability review are not marketed as current offerings. If those needs arise later, we will say so clearly — we will not invent product lines on this site.

Start a conversation

Whether you represent a plan, TPA, employer, or program partner — or are a clinician interested in the reviewer network — use non-PHI Contact for introductions. Secure case upload is available for authorized portal users (Business, Provider, and Admin) after MFA: a verified email and a second factor, with an authenticator preferred and US SMS supported. ArkMedis will review and process submitted cases after Texas Department of Insurance Independent Review Organization certification is issued. The application is filed and in process. Certification is not active. Send case PHI only through the portal vault. Do not send PHI by email or fax. Download of stored files is not available yet.