MET is an Independent Review Organization (IRO) accredited through URAC, a non-profit organization that helps promote health care quality through standards that validate organizations are committed to a fair and impartial medical review process that benefit both patient and physician appeals.
URAC accredited IROs undergo a thorough screening process to ensure health plans and consumers receive a comprehensive review and objective appeal decision.
We provide nationwide Independent Medical Review services for state insurance departments and federal agencies.
Our independent medical reviews are free from conflict and performed by highly-trained, unbiased legal professionals, board-certified physicians, and qualified healthcare providers, in compliance with specific state, federal, and URAC mandates.
Utilizing an independent, evidence-based review process, we support state departments of insurance and federal agencies by providing timely, objective, and defensible independent medical review determinations that promote regulatory compliance and fair outcomes for consumers and regulated entities.
When the internal medical appeal process has been exhausted, an external review can be requested to determine whether the denied medical treatment is medically necessary or experimental/investigational. MET's URAC-accredited IRO team provides unbiased external reviews using specialty matched physicians with current hands-on experience in the requested treatment.
Our team of contractual experts conduct reviews for consumers and plans regarding the rescission of benefits, benefit interpretations, reimbursement issues, and other administrative/legal concerns to determine if a plan was applied appropriately.
When your legal team needs an expert medical opinion, we have the answer. Our diverse network of physicians, doctors, and certified coders provide the evidence necessary to strengthen your position. Contact us now to start building your defensible case.