What types of organizations with an IRO, independent medical evaluations or peer review? Many companies benefit from this type of service.

Line are the health and medical insurance carriers, the IRO to ensure that they decide claims in a properly.

Secondly, third party administrators (TPAs) that the administration and claims services for health plan payers.

Thirdly, reinsurer, or stop-loss carrier. Stop Loss Carrier independent review organizations as a way to ensure that they have a second objective and unbiased opinion to the most expensive and complex medical claims that they are called to the door.

Fourth large self assured that their own health benefits. They are increasingly at IROS to proceed with their claims decisions.

Fifth are managed care organizations, the Point-of-care preauthorization requirements for their patients.

Sixth, the use of companies. IROS preauthorize you use too complex, special and costly treatments.

Utilization management companies and business units within larger companies also IROS. Medical management companies routinely use IROS to outsource their claims of making and preauthorization of treatments. Union hopes also to independent review organizations to ensure that benefits are properly administered Union for its population.

All these organizations work in health care premises either payment or preauthorization of treatments. There are other types of insurance that independent organizations to strengthen the administrative claims. Disability insurance carriers, TPAs and their medical care from IROS companies and workers' compensation carriers, TPAs and their medical care of business. Property and casualty insurance companies, the payment of medical claims and then to independent review organizations to review claims. Fraud work within larger health units and special units of independent review organizations, to ensure the medical necessity of treatments and to validate or, if they are potential provider fraud.

As you can see, many different types of organizations in various markets turn IROS critical as a source to decide to decide and approve health care claims. IROS today is a recognized best practice of the largest and the smallest organizations involved in managing care for patients today.

About AllMed Healthcare Management
Founded in 1995, AllMed is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are provided by board-certified physicians in active practice. AllMed the growing customer base for its independent medical review and peer review are leading hospital organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, Health Guard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers. Read the AllMed Medical News Blog and the Independent Review Organization Blog.