Claims Services

United Review Services works with health and disability carriers and health plans, providing services which contain costs while enhancing the effectiveness of members' or insureds' medical care.

We strive to contain medical costs for the client while being a valuable medical resource for the participant. We also work to obtain the most timely and objective expert opinions possible regarding a disability claimant's eligibility for benefits based upon the terms of the policy.

We provide insurance carriers, TPAs and benefit plans with tools to fairly administer claims based on sound medical decisions. For the health carrier or benefit plan we offer pre-certification, which includes hospital pre-certification, continued stay review and discharge planning, medical necessity review and medical case management services. These services are designed to expedite appropriate medical treatment and care, assure that treatment is within accepted medical guidelines and approve care and treatment that is eligible and within the scope of the policy or plan.

We also perform hospital and provider bill auditing to make sure that carriers pay only for covered, appropriate and correctly billed services.

For disability carriers we provide IMEs and Peer Reviews nationally as well as medical file review and case management services. Our panel of physicians is carefully credentialed, and each assignment is managed to afford an objective and prompt outcome. We work for LTD, STD and accidental disability carriers and TPAs, in individual as well as group coverage. To view our services for health and disability, please select from the following:







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