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Whether you need a single medical decision or a full case review, our peer review program matches the right reviewer to your needs. We also provide access to telephonic consultations, and our doctors utilize UniMeviDenceSM to help ensure "decisions that stick."

Peer Review and Physician Advisor Services

We believe that effective and compliant claim management is rooted in strong medical direction by a team of knowledgeable physician advisors. At UniMed Direct, we start with board certified doctors and licensed ancillary providers and give them the resources they need to provide best practices reviews.

Our Independent Review Organization processes are URAC accredited
and include:

  • National coverage (click here for coverage map)
  • Same state licenses where required or needed
  • Specialty matching using expert criteria
  • Our peer review products include:

  • Physician Advisor services for utilization review
  • Full case file and record reviews
  • Impairment rating reviews
  • Spotlight Services will also compliment your claims and case management programs with experts ready and online to help create exceptional claims outomes:

    • Direct-MDSM, doctor-to-doctor treatment planning and RTW discussions
    • Virtual Medical Director Hotline