Medical Review Institute of America, LLC

Medical Review Institute of America, LLC

Hospitals and Health Care

Salt Lake City, Utah 3,273 followers

Quality, Innovation, and Experience: Setting Us Apart

About us

Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983. Today MRIoA is an industry leader in providing external review resources for over 800 clients nationwide. MRIoA provides review of medical, dental, behavioral health, pharmacy, vision, disability, workers' compensation, and auto claims for insurance carriers, employers, TPAs, self- administered union groups, pharmacy benefit managers, human resource consultants and departments of insurance throughout the country. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA also has reviewers in most states, offering the most extensive same-state reviewer resources available from an external review organization. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition we are NCQA and SSAE 16 certified. MRIoA's goal is to render a professional, independent and unbiased opinion to assist our clients with their adjudication challenges or to provide an external source to comply with ERISA/DOL or state laws. MRIoA reviews cases prospectively, concurrently and retrospectively for: Medical Necessity, Appropriate Treatment, Experimental Procedures, Utilization Frequency, Appropriate Hospitalization, Formulary Criteria Review, Pre-Existing Conditions, Injury Causation, CPT Coding, Level of Disability, Provider Fees, Outpatient Facility Fees, and all Diagnostic Testing and Charges. MRIoA has provided state-level external review in many states since 2001. MRIoA is also contracted with hundreds of clients to offer Federal External Review under the ACA.

Website
http://www.mrioa.com
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Headquarters
Salt Lake City, Utah
Type
Privately Held
Founded
1983
Specialties
Review of Health,, Pharmacy and, Workers Compensation claims., State and Federal level External Review, Nurse Review, and Precert Medical Director Review

Locations

  • Primary

    2875 South Decker Lake Drive

    Suite 300

    Salt Lake City, Utah 84119, US

    Get directions

Employees at Medical Review Institute of America, LLC

Updates

  • Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€) is excited to announce that we will be attending #HCAATPASummit next week in St. Louis! Randy Iskowitz and Jeff Wunderlich are ready to explore ๐‘พ๐’Š๐’๐’๐’Š๐’๐’ˆ ๐’Š๐’ ๐’•๐’‰๐’† ๐‘ต๐’†๐’˜ ๐‘ป๐’“๐’‚๐’๐’”๐’‘๐’‚๐’“๐’†๐’๐’• ๐‘ด๐’‚๐’“๐’Œ๐’†๐’•๐’‘๐’๐’‚๐’„๐’† with leaders from the self-funded industry. Be sure to set up a 15-๐ฆ๐ข๐ง๐ฎ๐ญ๐ž ๐ฆ๐ž๐ž๐ญ๐ข๐ง๐  with them by ๐˜ค๐˜ญ๐˜ช๐˜ค๐˜ฌ๐˜ช๐˜ฏ๐˜จ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ญ๐˜ช๐˜ฏ๐˜ฌ ๐˜ฃ๐˜ฆ๐˜ญ๐˜ฐ๐˜ธ to learn why ๐จ๐ฏ๐ž๐ซ 50% ๐จ๐Ÿ ๐š๐ฅ๐ฅ ๐“๐๐€๐ฌ ๐ก๐š๐ฏ๐ž ๐œ๐ก๐จ๐ฌ๐ž๐ง ๐ญ๐จ ๐ฐ๐จ๐ซ๐ค ๐ฐ๐ข๐ญ๐ก ๐Œ๐‘๐ˆ๐จ๐€ and see what we can do for your organization. See you next week at ๐‘ป๐‘ท๐‘จ ๐‘บ๐’–๐’Ž๐’Ž๐’Š๐’•! https://lnkd.in/gEj__TPH #hcaa #HCAATPASummit #healthcare #healthplans #TPAs #teammrioa

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  • As we celebrate the birth of our nation, we extend our heartfelt gratitude to our valued clients and partners. Your unwavering support and collaboration enable us to provide exceptional service to you and the patients we all serve. On this day of independence, letโ€™s honor the spirit of freedom, unity, and resilience that defines America. Together, we continue to build a healthier and stronger future for all. Wishing you a joyful and safe Independence Day! #IndependenceDay #4thOfJuly #Healthcare #Payers #Partnership #TPAs #PBMs

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  • ๐‚๐จ๐ง๐ ๐ซ๐š๐ญ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง๐ฌ to our employees with work anniversaries in June! We want to express our sincere gratitude to those who have been with us at least 5 years. ๐‘ป๐’‰๐’‚๐’๐’Œ ๐’š๐’๐’– ๐’‡๐’๐’“ ๐’š๐’๐’–๐’“ ๐’…๐’†๐’…๐’Š๐’„๐’‚๐’•๐’Š๐’๐’ ๐’•๐’ ๐’๐’–๐’“ ๐’„๐’๐’Š๐’†๐’๐’•๐’”, ๐’š๐’๐’–๐’“ ๐’„๐’๐’Ž๐’Ž๐’Š๐’•๐’Ž๐’†๐’๐’• ๐’•๐’ ๐‘ด๐‘น๐‘ฐ๐’๐‘จ, ๐’‚๐’๐’… ๐’š๐’๐’–๐’“ ๐’„๐’๐’๐’•๐’Š๐’๐’–๐’†๐’… ๐’”๐’–๐’‘๐’‘๐’๐’“๐’•. We know that Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€) is the company it is today because of employees like you. ๐“๐ก๐š๐ง๐ค ๐ฒ๐จ๐ฎ ๐š๐ง๐ ๐œ๐จ๐ง๐ ๐ซ๐š๐ญ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง๐ฌ ๐จ๐ง ๐ฒ๐จ๐ฎ๐ซ ๐š๐ง๐ง๐ข๐ฏ๐ž๐ซ๐ฌ๐š๐ซ๐ฒ! #teammrioa #healthcare #healthplans #TPAs #PBMs

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  • ๐‰๐ฎ๐ง๐ž๐ญ๐ž๐ž๐ง๐ญ๐ก is a day set aside to commemorate the end of slavery in the United States and ๐˜ค๐˜ฆ๐˜ญ๐˜ฆ๐˜ฃ๐˜ณ๐˜ข๐˜ต๐˜ฆ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ณ๐˜ฆ๐˜ด๐˜ช๐˜ญ๐˜ช๐˜ฆ๐˜ฏ๐˜ค๐˜ฆ, ๐˜ด๐˜ต๐˜ณ๐˜ฆ๐˜ฏ๐˜จ๐˜ต๐˜ฉ, ๐˜ข๐˜ฏ๐˜ฅ ๐˜ค๐˜ฐ๐˜ฏ๐˜ต๐˜ณ๐˜ช๐˜ฃ๐˜ถ๐˜ต๐˜ช๐˜ฐ๐˜ฏ๐˜ด ๐˜ฐ๐˜ง ๐˜ต๐˜ฉ๐˜ฆ ๐˜‰๐˜ญ๐˜ข๐˜ค๐˜ฌ ๐˜ค๐˜ฐ๐˜ฎ๐˜ฎ๐˜ถ๐˜ฏ๐˜ช๐˜ต๐˜บ. It serves as a reminder of the progress we've made as a nation and the work that still lies ahead to achieve true equality for all. As a company, Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€) is committed to fostering a workplace culture that values ๐’…๐’Š๐’—๐’†๐’“๐’”๐’Š๐’•๐’š, ๐’†๐’’๐’–๐’Š๐’•๐’š, and ๐’Š๐’๐’„๐’๐’–๐’”๐’Š๐’๐’, where every individual is ๐’“๐’†๐’”๐’‘๐’†๐’„๐’•๐’†๐’…, ๐’”๐’–๐’‘๐’‘๐’๐’“๐’•๏ฟฝ๏ฟฝ๐’…, and ๐’†๐’Ž๐’‘๐’๐’˜๐’†๐’“๐’†๐’… ๐’•๐’ ๐’•๐’‰๐’“๐’Š๐’—๐’†. ๐‘ฏ๐’‚๐’‘๐’‘๐’š ๐‘ฑ๐’–๐’๐’†๐’•๐’†๐’†๐’๐’•๐’‰!

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  • We want to express a sincere ๐˜ต๐˜ฉ๐˜ข๐˜ฏ๐˜ฌ ๐˜บ๐˜ฐ๐˜ถ to everyone who took the time to stop by Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€)โ€™๐ฌ booth at ๐€๐‡๐ˆ๐ 2024 this year. Randy Iskowitz, Jamie Suchy and Marise Condon loved connecting with all of you. Thank you to AHIP for hosting such a successful show! It was a pleasure to be a part of it, and we look forward to participating again next year. Until then, let's keep the conversations going and continue to explore opportunities for collaboration and innovation in the health care industry. #AHIP2024 #healthcare #healthplans #TPAs #PBMs #teammrioa

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  • Today, we want to celebrate the fathers, grandfathers, father figures, and all the incredible men who play a pivotal role in our lives. Your dedication, hard work, and love inspire us every day. All of us at Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€) wish you each a ๐‘ฏ๐’‚๐’‘๐’‘๐’š ๐‘ญ๐’‚๐’•๐’‰๐’†๐’“โ€™๐’” ๐‘ซ๐’‚๐’š filled will love, joy, and gratitude. #HappyFathersDay #teammrioa #healthcare #healthplans #pbms #tpas

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  • You still have one day at #AHIP2024 so be sure to stop by Medical Review Institute of America, LLC ๐Œ๐‘๐ˆ๐จ๐€โ€™๐ฌ ๐›๐จ๐จ๐ญ๐ก #1627 and talk with Jamie Suchy and Marise Condon today. Donโ€™t forget to register to win an ๐Ž๐จ๐ง๐ข ๐Š๐š๐ซ๐ฎ 12 ๐Œ๐ฎ๐ฅ๐ญ๐ข-๐…๐ฎ๐ž๐ฅ ๐๐ข๐ณ๐ณ๐š ๐Ž๐ฏ๐ž๐ง while at our booth today! You can ask about our ๐‡๐ข๐ ๐ก-๐‚๐จ๐ฌ๐ญ ๐’๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ญ๐ฒ ๐ƒ๐ซ๐ฎ๐  ๐‘๐ž๐ฏ๐ข๐ž๐ฐ๐ฌโ„ข and learn how one TPA realized a 17:1 ๐‘๐Ž๐ˆ* or ask about our ๐๐€ ๐Ž๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐š๐ญ๐ข๐จ๐งโ„ข which offers unparalleled value to health plans by optimizing your prior authorizations program, minimizing unnecessary care, and potentially ๐ฌ๐š๐ฏ๐ข๐ง๐  ๐ฎ๐ฉ ๐ญ๐จ $7 ๐ฆ๐ข๐ฅ๐ฅ๐ข๐จ๐ง ๐š๐ง๐ง๐ฎ๐š๐ฅ๐ฅ๐ฒ ๐จ๐ซ ๐š 7:1 ๐‘๐Ž๐ˆ ๐ฉ๐ž๐ซ 100,000 ๐ฅ๐ข๐ฏ๐ž๐ฌ, all while streamlining your PA list. *๐˜™๐˜ฆ๐˜ด๐˜ถ๐˜ญ๐˜ต๐˜ด ๐˜ข๐˜ด ๐˜ฐ๐˜ง 3/30/2024   #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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  • ๐‘ป๐’‰๐’‚๐’๐’Œ ๐’š๐’๐’– to everyone who stopped by our wine bar last night! Randy Iskowitz, Jamie Suchy and Marise Condon enjoyed meeting everyone and the incredible conversations they had.  Be sure to stop by Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€)โ€™๐ฌ ๐›๐จ๐จ๐ญ๐ก #1627 today to expand on the conversations you had last night and explore how ๐Œ๐‘๐ˆ๐จ๐€โ€™๐ฌ ๐‚๐ฅ๐ข๐ง๐ข๐œ๐š๐ฅ ๐’๐จ๐ฅ๐ฎ๐ญ๐ข๐จ๐ง๐ฌ ๐๐ฅ๐š๐ญ๐Ÿ๐จ๐ซ๐ฆโ„ข creates a ๐˜ฑ๐˜ข๐˜ต๐˜ช๐˜ฆ๐˜ฏ๐˜ต-๐˜ค๐˜ฆ๐˜ฏ๐˜ต๐˜ฆ๐˜ณ๐˜ฆ๐˜ฅ ๐˜ข๐˜ฑ๐˜ฑ๐˜ณ๐˜ฐ๐˜ข๐˜ค๐˜ฉ ensuring patients receive the appropriate care at the right time in the right place by taking the data we receive from our ๐‚๐ฅ๐ข๐ง๐ข๐œ๐š๐ฅ ๐‘๐ž๐ฏ๐ข๐ž๐ฐ ๐’๐ž๐ซ๐ฏ๐ข๐œ๐ž๐ฌ and coupling it with ๐Œ๐‘๐ˆ๐จ๐€ ๐ˆ๐ง๐ฌ๐ข๐ ๐ก๐ญ๐ฌโ„ข. Donโ€™t forget to register to win an ๐Ž๐จ๐ง๐ข ๐Š๐š๐ซ๐ฎ 12 ๐Œ๐ฎ๐ฅ๐ญ๐ข-๐…๐ฎ๐ž๐ฅ ๐๐ข๐ณ๐ณ๐š ๐Ž๐ฏ๐ž๐ง. ๐‘บ๐’†๐’† ๐’š๐’๐’– ๐’‚๐’• ๐’ƒ๐’๐’๐’•๐’‰ #1627! #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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  • #AHIP2024 starts today and Medical Review Institute of America, LLC (๐Œ๐‘๐ˆ๐จ๐€)โ€™๐ฌ ๐’˜๐’Š๐’๐’† ๐’ƒ๐’‚๐’“ ๐’Š๐’” ๐’•๐’๐’๐’Š๐’ˆ๐’‰๐’•! Join Randy Iskowitz, Jamie Suchy and Marise Condon at booth #1627 ๐“๐Ž๐๐ˆ๐†๐‡๐“ from 6:15 ๐ฉ๐ฆ โ€“ 7:15 ๐ฉ๐ฆ to enjoy our ๐˜ณ๐˜ฆ๐˜ง๐˜ณ๐˜ฆ๐˜ด๐˜ฉ๐˜ช๐˜ฏ๐˜จ ๐˜ธ๐˜ช๐˜ฏ๐˜ฆ ๐˜ฃ๐˜ข๐˜ณ and get a ๐’Œ๐’†๐’†๐’‘๐’”๐’‚๐’Œ๐’† ๐’ˆ๐’๐’‚๐’”๐’” ๐’•๐’ ๐’•๐’‚๐’Œ๐’† ๐’‰๐’๐’Ž๐’†! ๐‘๐š๐ง๐๐ฒ, ๐‰๐š๐ฆ๐ข๐ž and ๐Œ๐š๐ซ๐ข๐ฌ๐ž would be happy to answer your questions about our ๐’Š๐’๐’•๐’†๐’ˆ๐’“๐’‚๐’•๐’†๐’… ๐’†๐’…๐’–๐’„๐’‚๐’•๐’Š๐’๐’ ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž that is included as part of ๐Œ๐ฒ๐‚๐š๐ซ๐ž๐‚๐ก๐จ๐ข๐œ๐ž๐ฌโ„ข - ๐๐ซ๐จ๐š๐œ๐ญ๐ข๐ฏ๐ž 2๐ง๐ ๐Ž๐ฉ๐ข๐ง๐ข๐จ๐ง and provides members access to over 2,300 ๐˜ท๐˜ช๐˜ฅ๐˜ฆ๐˜ฐ๐˜ด ๐˜ค๐˜ฐ๐˜ท๐˜ฆ๐˜ณ๐˜ช๐˜ฏ๐˜จ ๐˜ค๐˜ฐ๐˜ฏ๐˜ฅ๐˜ช๐˜ต๐˜ช๐˜ฐ๐˜ฏ๐˜ด, ๐˜ฑ๐˜ณ๐˜ฐ๐˜ค๐˜ฆ๐˜ฅ๐˜ถ๐˜ณ๐˜ฆ๐˜ด ๐˜ข๐˜ฏ๐˜ฅ ๐˜ข๐˜ญ๐˜ต๐˜ฆ๐˜ณ๐˜ฏ๐˜ข๐˜ต๐˜ช๐˜ท๐˜ฆ ๐˜ต๐˜ณ๐˜ฆ๐˜ข๐˜ต๐˜ฎ๐˜ฆ๐˜ฏ๐˜ต ๐˜ฐ๐˜ฑ๐˜ต๐˜ช๐˜ฐ๐˜ฏ๐˜ด. Or if you want to learn more about how one TPA realized a 17:1 ๐‘๐Ž๐ˆ* with our ๐‡๐ข๐ ๐ก-๐‚๐จ๐ฌ๐ญ ๐’๐ฉ๐ž๐œ๐ข๐š๐ฅ๐ญ๐ฒ ๐ƒ๐ซ๐ฎ๐  ๐‘๐ž๐ฏ๐ข๐ž๐ฐ๐ฌโ„ข, they would be happy to explain how this solution uses evidence-based guidelines for treating medical conditions and offers lower-cost drug therapeutic alternatives when they are available. ๐‘บ๐’†๐’† ๐’š๐’๐’– ๐‘ป๐‘ถ๐‘ต๐‘ฐ๐‘ฎ๐‘ฏ๐‘ป ๐’‚๐’• ๐’ƒ๐’๐’๐’•๐’‰ #1627 ๐’‚๐’• ๐‘จ๐‘ฏ๐‘ฐ๐‘ท 2024. Be sure to ask how you can register to win an ๐‘ถ๐’๐’๐’Š ๐‘ฒ๐’‚๐’“๐’– 12 ๐‘ด๐’–๐’๐’•๐’Š-๐‘ญ๐’–๐’†๐’ ๐‘ท๐’Š๐’›๐’›๐’‚ ๐‘ถ๐’—๐’†๐’. *๐˜ˆ๐˜ด ๐˜ฐ๐˜ง 3/30/24 #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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