Welcome to Claims Eval
YOUR Independent Review Organization
Timely. Objective. Conclusive.
Claims Eval Inc. is a URAC-accredited Independent Review Organization headquartered in Rocklin, CA. We provide Peer Review services to regional and national Workers’ Compensation, Disability, Auto, Liability, Group Health, Managed Care Organizations, Employers, Pharmacy Benefit Managers and Medicare Set-Aside providers.
Our national peer review panel of licensed, board certified, actively practicing physicians constantly update their knowledge, staying abreast of new developments and standards of care in their fields.
Our objective is to help you reach appropriate medical determinations throughout the claims management process. By providing timely, objective and conclusive reviews that are defendable and evidence-based, our peer-to-peer consultation addresses medical necessity, causality and appropriateness of care.
Why Choose Claims Eval?
Claims Eval is committed to creating a custom program for your organization’s needs. But we don’t stop there. We will keep updating our services as your company changes and grows. Flexibility is key to our service.
Email : M.Hamby@claimseval.com
Director of Operations
Email : C.Tiff@claimseval.com
Angela H. Vine
National Director of Marketing
Email : A.Vine@claimseval.com
Adam Richardson, DPM
Director of Physician Services
Email : A.Richardson@claimseval.com
Peer/File Review Supervisor
Email : V.Anderson@claimseval.com
Physician Recruitment & Credentialing, Depositions, UR Specialist
Email : K.Mcnally@claimseval.com
Rajani Shrestha, MBA
Information Systems Manager
Email : R.Shrestha@claimseval.com
Human Resources Manager
Email : E.Sotomayor@claimseval.com
Physician Recruitment & Credentialing
Email : E.Speth@claimseval.com