About

National Medical Reviews, Inc., (NMR) was founded in 1996 and is located in Warminster, Pennsylvania.

  • URAC accredited continuously as an Independent Review Organization (IRO) since 2003
  • Holds a Certificate of Full Accreditation under URAC as an Independent Review Organization: Comprehensive Review (Internal & External)
  • Certified by the Departments of Health & Human Services, Treasury & Labor as an Independent Dispute Resolution Entity

OUR MISSION

NMR's organizational mission is to provide healthcare transparency between the payor and the consumer. We deliver high quality, evidence-based, independent, specialty-matched medical review services that are cost effective, expedient, and objective.

WE ARE COMMITTED

NMR is committed to the quality, compliance, and integrity of the review process. This process of secure, streamlined, digital automation also includes one-on-one interaction with licensed, board-certified, medical professionals and Nurse Review Coordinators.

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OUR CLIENTS

Since 1996 NMR has been conducting health care Peer Reviews and related audit services. NMR has been servicing the medical and behavioral health care review needs of many different types of clients including:

  • ERISA Regulated Benefit Plans
  • Federally Regulated Agencies
    • Department of Justice (DOJ)
    • Department of Labor (DOL)
    • Department of Treasury (DOT)
    • Health and Human Services (HHS)
  • Health Care Facilities
  • Health Maintenance Organizations (HMOs)
  • Insurance Companies
  • Law Firms
  • Managed Care Organizations (MCOs)
  • Medical and Utilization Management Companies
  • Medical Review Companies
  • Preferred Provider Organizations (PPOs)
  • State Insurance and Public Health Departments,
  • Third Party Administrators (TPAs)

Client Testimonials

  • Appeals Specialist

    NMR goes above and beyond to deliver top quality work. I really value their time and effort they put into each case and appreciate their friendly staff reaching out to me with any questions or concerns. All my cases have been returned in a timely manner, which is of great importance to me.




    Appeals Specialist
  • Supervisor, Clinical Appeals Operations
    Our company’s experience with NMR has been nothing short of remarkable. NMR offers an extensive panel of Specialty Physicians, quick turn-around-times, and detailed, quality reports. NMR is our “go-to” for uncommon specialty reviews. They regularly meet or exceed deadlines, and with superior quality results. What’s also nice is, their portal is user friendly and can be personalized to meet business needs. Above all, NMR’s staff and support are exceptional! They are readily available and responsive to questions/comments in a timely fashion. NMR offers innovative solutions for associated business challenges, and they are very accommodating to unique processes. No ask is too big or too small! We truly value our business relationship with NMR and the exceptional service they provide!
    Supervisor, Clinical Appeals Operations
  • Manager Appeals and Grievances

    It has been amazing working with the NMR team. They are fully transparent in how they can help meet State and Federal requirements and always maintains an open line of communication. Exceptional customer service and a pleasure to work with. Highly recommend!




    Manager Appeals and Grievances

CERTIFICATIONS

National Medical Reviews is an Independent Internal and External Medical Review Organization with URAC Accreditation. National Medical Reviews is certified by the Departments of Health & Human Services, Treasury & Labor as an Independent Dispute Resolution Entity.

Since 1996 NMR has been serving:

ERISA Regulated Benefit Plans ♦ Federally Regulated Agencies ♦ HMO ♦ Health Care Facilities ♦ State Agencies ♦ Insurance Companies ♦ Medicaid ♦ Medicare ♦ PPO ♦ PBMs ♦ Self-funded Plans ♦ State Insurance Departments ♦ Third Party Administrators ♦ Utilization Management Companies ♦ Workers Compensation

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