peer reviewer independent medical reviews
Nationwide Peer Reviewer Panel
Workers' Compensation
quality of care reviews
Quality of Care
utilization management reviews
Utilization Management

Providing Medical Reviews to the Health Care Industry

Real Responses. Real Time. Real People.

national peer review, hipaa compliant, and speciality matched medical reviews

Utilization Management Reviews
Utilization Management

Providing specialty-matched peer review services, NMR supports the healthcare claim process by determining the medical necessity and reasonableness of healthcare services and/or procedures according to established criteria or guidelines at all levels of reviews.  Read more →

Workers Compensation Claims Peer Reviews
Workers’ Compensation

NMR supports the workers’ compensation claims process through its specialty-matched peer review services according to established criteria and guidelines while addressing causality, reasonableness/necessity, MMI, functional capacity and/or disability.  Read more →

Quality of Care Reviews
Quality of Care

NMR performs independent audits to assist healthcare facilities, health plans and/or government agencies in determining the quality of care provided to the consumer, while identifying any deficiencies such as mis-utilization, over-utilization, and/or fraud waste and abuse.  Read more →

 
 

NMR is an Independent Internal and External Medical Review Organization with URAC Accreditation

Since 1996 NMR has been serving:

Insurance Companies ♦ State Insurance Departments ♦ Third Party Administrators ♦ Federally Regulated Agencies ♦ ERISA Regulated Benefit Plans ♦ Utilization Management Companies ♦ Hospitals  State Agencies ♦ HMO ♦ Self-funded Plans ♦ PPO ♦  Fee-for-Service ♦ Medicare ♦ Medicaid ♦ Workers Comp ♦ PBMs

Internal Reviews
Rescission Reviews
Quality of Care Reviews
Independent External Reviews

Cost Effective
Highly Competitive
No Conflicts of Interest
Evidence Based Determinations

Expedient
Specialty Matched
Peer to Peer Contact
Customized Client Reporting

 
 
Work with National Medical Reviews Inc
Partner with NMR

NMR utilizes a solution oriented approach to meet the needs and expectations of our clients. Contact us to see how our flexible operational model can fit your current or future needs.  Read more →

Peer Reviewer Panel - Independent Medical Reviews
Peer Reviewer Panel

NMR’s panel consists of 500 individual providers, representing over 700 board certifications, specialties and state licenses nationwide. All reviewers are fully credentialed in accordance with URAC standards.  Read more →

Regulatory Compliance in Healthcare Industry
Regulatory Compliance

NMR accesses resources to maintain regulatory compliance with federal, state and national accrediting bodies applicable to all levels of the review process within the changing healthcare marketplace.  Read more →

 

Questions

If you have any questions, feel free to contact us:

Phone: 1-800-283-8196

Email: medreviews@nmrusa.com