MRIoA

Clarity & Confidence in Every Clinical Decision.

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Overview

MRIoA (Medical Review Institute of America) is a leading provider of technology-enabled clinical review solutions. They offer independent, evidence-based reviews for utilization management, including prior authorization, specialty drug reviews, and appeals. While they provide a service enabled by technology rather than just a software tool, their platform is a key part of the DUR process for many payers who need external, specialty-matched clinical expertise to adjudicate complex medication requests.

✨ Key Features

  • Utilization Management reviews (Prior Auth, Appeals)
  • Specialty drug review
  • Peer-to-peer consultation services
  • Nationwide network of physician, nurse, and pharmacist reviewers
  • Technology platform for case management and review

🎯 Use Cases (3)

Outsourcing complex prior authorization reviews for payers. Providing independent, third-party reviews for appeals. Accessing specialty-specific expertise for medication reviews.

✅ Best For

  • Serving as a clinical review partner for health plans and PBMs.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Point-of-care clinical decision support for providers.

💻 Platforms

Web

🔌 Integrations

Payer UM Platforms

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ URAC Accredited

💰 Pricing

Contact for pricing
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