Independent Medical Review

Avidyn Health


Sometimes a second opinion helps a great amount. Before buying a car, submitting a manuscript, or taking a vacation, you seek the assistance of another source. The same idea works with the Avidyn Health Independent Medical Review. The independent medical review process ensures the integrity of our decisions and a continuing effort to protect members' rights while ensuring quality and affordable health care for all.

Our Independent Medical Review panel is comprised of more than 400 physicians to promote expert opinions based upon clinical guidelines for medical appropriateness of the requested service. Because of breadth and depth of our Independent Medical Review panel, we are able to provide high-quality services in an efficient, timely and accurate manner.

Why choose the Avidyn Health Independent Medical Review? We can meet the necessities of your business by offering a variety of services.
These services include:

  • Predetermination
  • Medical management review
  • Claims analysis review
  • RN review for select services
  • Multi-level options

In an effort to provide timely and effective reviews, we have several types available to meet the unique needs of a self-funded business. We use a seven-day standard review, a 48 hours expedited review, a 24 hours rush review, a matched specialty review and a matched state review.

Avidyn Health is dedicated to providing expert confidential reviews that are based off of HIPAA training and education programs for all services. We understand the importance of compassion and concern when considering the customer’s health and the medical services provided for the situation. We want the best for the customer’s health and the employer’s bottom line.

 

 

 

 

 

 

 

 

 




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