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National
Medical Reviews

 

  • Medical

  • Surgical

  • Psychiatric

  • Dental

  • Podiatric

  • Chiropractic

  • and all other Ancillary Health Care Providers.


 

Services provided in both standard and expedited time frames.


Links

Internal, External, Peer, Utilization Reviews & IMEs

 

 

Accreditation

NMR has full accreditation from URAC as an Independent Review Organization and a Workers’ Compensation Utilization Management Organization. In December 2009 NMR received full URAC Re-accreditation as an Independent Review Organization. PRESS RELEASE. In November 2010 NMR received full URAC Re-accreditation as a Workers’ Compensation Utilization Management Organization. PRESS RELEASE.

NMR maintains Accreditations / Certifications in the following states:  

State

Accreditation / Certification

Department

Description

AR

Independent Review Organization

Insurance Department

External Reviews

CO

Independent Review Entity

Department of Insurance

External Grievance Appeals

CT

Independent Review Organization**

Department of Insurance

External Appeals

DE

Utilization Review Services**

Office of Workers’ Compensation

Workers’ Compensation UR Services

GA

Independent Review Organization

Department of Community Health

External Reviews

ID

Independent Review Organization

Department of Insurance

External Reviews

IL

Independent Review Organization

Department of Insurance

External Reviews

IN

Independent Review Organization

Department of Insurance

External Grievance

Appeals

KY

Independent Review Entity

Office of Insurance

External Reviews

 

NC

Independent Review Organization

Department of Insurance

Independent External Reviews

 

OH

Independent Review Organization*

Department of Insurance

External Grievance Appeals

OK

Private Review Agent

Department of Insurance

UR Services For MCOs

PA

Utilization Review Entity

Department of Health

UR Services For MCOs

PA

Utilization Review Entity

Department of Health

External Grievance Appeals

PA

Independent Review Organization - Long Term Care

Department of Insurance

External Review of Long Term Care Contracts

SC

Independent Review Organization

Department of Insurance

External Reviews

SC

Private Review Agent

Department of Insurance

UR Services for MCOs

SD

Independent Review Organization

Division of Insurance

External Reviews

SD

Independent Review Organization - Long Term Care

Division of Insurance

External Reviews of Long Term Care contracts

WA

Independent Review Organization

Department of Health

External Reviews

WI

Independent Review Organization

Office of the Commissioner of Insurance

External Reviews

WY

Independent Review Organization

Department of Health

External Reviews

 *DBA Quality Assurance Reviews, Inc. www.QAR.us
  **Contract through RFP

Compliance...

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National Medical Reviews, Inc.
260 Knowles Avenue, Suite 330,  Southampton, PA 18966

Hours of operation: Monday-Friday 8:00AM - 7:00PM EST

MedReviews@NMRusa.com  ~   www.nmrusa.com 

Copyright © 2005 National Medical Reviews, Inc.

Phone (215) 352-7800  ~  Fax (215) 352-7801