External Review of Appeals
Permedion provides impartial, independent reviews of adverse utilization review determinations and retrospective claim denials based on the medical necessity of managed care organization and utilization review company’s internal appeal decisions. We are fully accredited by URAC as an IRO and certified as an Independent Review Organization in 15 states: Arizona, Colorado, Connecticut, Georgia, Hawaii, Indiana, Michigan, New Jersey, Ohio, Oregon, Pennsylvania, South Dakota, Virginia, Washington, and Wisconsin.
This demonstrates our commitment to providing quality external review of appeals. Our full-time Independent medical review staff, national panel of over 800 board certified medical and allied health professionals, as well as attorneys experienced in healthcare law, allow for appropriate, high quality, timely, and efficient reviews.