Claims Eval provides Peer Review services nationwide, with a rigorous Quality Assurance Program on 100% of files. Our support staff provides readily accessible telephone and consultation support from 6:30 am to 6:30 pm PST.
All of our services include medical sorting & labeling. Each final report includes a chronological listing of medical records, clinical summary and determination for each question, and a rationale based upon appropriate evidence-based guidelines. All Peer-to-Peer attempts and conversations are documented in detail.
In addition to receiving referrals via our secure web portal, we accept referrals via secure email, FTP, or via real-time inbound & outbound integration with clients’ internal referral system.
As part of your individual client profile, your requirements such as jurisdictional/state match, specialty match, peer-to-peer tracking, report templates and TAT can be customized and updated as needed.
• Utilization Review/Physician Advisor Services
• Record Reviews
•Comprehensive Drug Utilization Reviews
• Pharmacy Medication Reviews