Peer Review and Physician Advisor Services
When you need a physician to support your UR processes for modifications or denials, our physicians are ready to support you with evidence based Decisions that Stick®
UniMed Direct’s board certified doctors
and licensed ancillary providers
are available for your single medical decisions or a full case review, our program matches the right reviewer to meet your needs. Our reviewers:
- Are individually contracted and intensely credentialed by us to ensure appropriate backgrounds and records
- Produce easy to understand decisions on how your case falls within or outside of evidence based guidelines
- Focus on accessible peer to peer conversations
- Are nationally licensed and geographically dispersed panel of reviewers who provide EBM consistent decisions
Peer reviewers that can do more … we offer specialized services with DirectMD and MyDocLine®
to handle your claims needs.
DirectMD – many cases require more than just a doctor to write about a lengthy case and say what was or is necessary to resolve the injury but with DirectMD, our doctors will actually facilitate changing the course of a claim that has gotten off-track whether that is prescribing patterns outside of guidelines or ongoing treatment without a focus on RTW.
MyDocLine® – we can set-up your individual virtual medical director to be there when you need answers. Our specialist will staff a toll free number during your hours of operation to help guide your case managers or adjusters on their everyday decisions. This verbal guidance can help you avoid escalating your UR determinations or claim decisions when basic direction and discussion of the case will get you the immediate answer you need.