Medical Review Institute of America

Medical Review Institute of America (MRIoA) is an independent review organization specializing in external medical peer reviews. Serving over 800 clients, MRIoA operates in the healthcare sector, providing services to a diverse range of clients including health plans, pharmacy benefit managers (PBMs), third-party administrators (TPAs), and self-insured employers. The company is URAC and NCQA accredited, ensuring high standards in their evidence-based review services. MRIoA's core business model revolves around offering timely and high-quality medical reviews, which help their clients make informed and cost-effective healthcare decisions. The company generates revenue by charging fees for their review services, which are conducted by a panel of over 500 MD specialists. MRIoA's clients benefit from reduced costs and improved operational efficiency by leveraging these expert reviews for initial assessments, appeals, and plan language interpretations. The company is known for its fast response times and exceptional customer service, boasting a 97% client satisfaction rating. MRIoA's services are designed to move healthcare decisions closer to the point of care, ensuring that patients receive appropriate and effective treatments.

Keywords: medical peer reviews, healthcare decisions, cost-effective, URAC accredited, NCQA accredited, health plans, PBMs, TPAs, self-insured employers, client satisfaction.