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

  • 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, let’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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  • 𝐂𝐨𝐧𝐠𝐫𝐚𝐭𝐮𝐥𝐚𝐭𝐢𝐨𝐧𝐬 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. 𝑻𝒉𝒂𝒏𝒌 𝒚𝒐𝒖 𝒇𝒐𝒓 𝒚𝒐𝒖𝒓 𝒅𝒆𝒅𝒊𝒄𝒂𝒕𝒊𝒐𝒏 𝒕𝒐 𝒐𝒖𝒓 𝒄𝒍𝒊𝒆𝒏𝒕𝒔, 𝒚𝒐𝒖𝒓 𝒄𝒐𝒎𝒎𝒊𝒕𝒎𝒆𝒏𝒕 𝒕𝒐 𝑴𝑹𝑰𝒐𝑨, 𝒂𝒏𝒅 𝒚𝒐𝒖𝒓 𝒄𝒐𝒏𝒕𝒊𝒏𝒖𝒆𝒅 𝒔𝒖𝒑𝒑𝒐𝒓𝒕. We know that Medical Review Institute of America, LLC (𝐌𝐑𝐈𝐨𝐀) is the company it is today because of employees like you. 𝐓𝐡𝐚𝐧𝐤 𝐲𝐨𝐮 𝐚𝐧𝐝 𝐜𝐨𝐧𝐠𝐫𝐚𝐭𝐮𝐥𝐚𝐭𝐢𝐨𝐧𝐬 𝐨𝐧 𝐲𝐨𝐮𝐫 𝐚𝐧𝐧𝐢𝐯𝐞𝐫𝐬𝐚𝐫𝐲! #teammrioa #healthcare #healthplans #TPAs #PBMs

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  • 𝐉𝐮𝐧𝐞𝐭𝐞𝐞𝐧𝐭𝐡 is a day set aside to commemorate the end of slavery in the United States and 𝘤𝘦𝘭𝘦𝘣𝘳𝘢𝘵𝘦 𝘵𝘩𝘦 𝘳𝘦𝘴𝘪𝘭𝘪𝘦𝘯𝘤𝘦, 𝘴𝘵𝘳𝘦𝘯𝘨𝘵𝘩, 𝘢𝘯𝘥 𝘤𝘰𝘯𝘵𝘳𝘪𝘣𝘶𝘵𝘪𝘰𝘯𝘴 𝘰𝘧 𝘵𝘩𝘦 𝘉𝘭𝘢𝘤𝘬 𝘤𝘰𝘮𝘮𝘶𝘯𝘪𝘵𝘺. 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 (𝐌𝐑𝐈𝐨𝐀) is committed to fostering a workplace culture that values 𝒅𝒊𝒗𝒆𝒓𝒔𝒊𝒕𝒚, 𝒆𝒒𝒖𝒊𝒕𝒚, and 𝒊𝒏𝒄𝒍𝒖𝒔𝒊𝒐𝒏, where every individual is 𝒓𝒆𝒔𝒑𝒆𝒄𝒕𝒆𝒅, 𝒔𝒖𝒑𝒑𝒐𝒓𝒕𝒆𝒅, and 𝒆𝒎𝒑𝒐𝒘𝒆𝒓𝒆𝒅 𝒕𝒐 𝒕𝒉𝒓𝒊𝒗𝒆. 𝑯𝒂𝒑𝒑𝒚 𝑱𝒖𝒏𝒆𝒕𝒆𝒆𝒏𝒕��!

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  • We want to express a sincere 𝘵𝘩𝘢𝘯𝘬 𝘺𝘰𝘶 to everyone who took the time to stop by Medical Review Institute of America, LLC (𝐌𝐑𝐈𝐨𝐀)’𝐬 booth at 𝐀𝐇𝐈𝐏 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 (𝐌𝐑𝐈𝐨𝐀) wish you each a 𝑯𝒂𝒑𝒑𝒚 𝑭𝒂𝒕𝒉𝒆𝒓’𝒔 𝑫𝒂𝒚 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 𝐌𝐑𝐈𝐨𝐀’𝐬 𝐛𝐨𝐨𝐭𝐡 #1627 and talk with Jamie Suchy and Marise Condon today. Don’t forget to register to win an 𝐎𝐨𝐧𝐢 𝐊𝐚𝐫𝐮 12 𝐌𝐮𝐥𝐭𝐢-𝐅𝐮𝐞𝐥 𝐏𝐢𝐳𝐳𝐚 𝐎𝐯𝐞𝐧 while at our booth today! You can ask about our 𝐇𝐢𝐠𝐡-𝐂𝐨𝐬𝐭 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐲 𝐃𝐫𝐮𝐠 𝐑𝐞𝐯𝐢𝐞𝐰𝐬™ and learn how one TPA realized a 17:1 𝐑𝐎𝐈* or ask about our 𝐏𝐀 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐚𝐭𝐢𝐨𝐧™ which offers unparalleled value to health plans by optimizing your prior authorizations program, minimizing unnecessary care, and potentially 𝐬𝐚𝐯𝐢𝐧𝐠 𝐮𝐩 𝐭𝐨 $7 𝐦𝐢𝐥𝐥𝐢𝐨𝐧 𝐚𝐧𝐧𝐮𝐚𝐥𝐥𝐲 𝐨𝐫 𝐚 7:1 𝐑𝐎𝐈 𝐩𝐞𝐫 100,000 𝐥𝐢𝐯𝐞𝐬, all while streamlining your PA list. *𝘙𝘦𝘴𝘶𝘭𝘵𝘴 𝘢𝘴 𝘰𝘧 3/30/2024   #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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  • 𝑻𝒉𝒂𝒏𝒌 𝒚𝒐𝒖 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 (𝐌𝐑𝐈𝐨𝐀)’𝐬 𝐛𝐨𝐨𝐭𝐡 #1627 today to expand on the conversations you had last night and explore how 𝐌𝐑𝐈𝐨𝐀’𝐬 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬 𝐏𝐥𝐚𝐭𝐟𝐨𝐫𝐦™ creates a 𝘱𝘢𝘵𝘪𝘦𝘯𝘵-𝘤𝘦𝘯𝘵𝘦𝘳𝘦𝘥 𝘢𝘱𝘱𝘳𝘰𝘢𝘤𝘩 ensuring patients receive the appropriate care at the right time in the right place by taking the data we receive from our 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐑𝐞𝐯𝐢𝐞𝐰 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 and coupling it with 𝐌𝐑𝐈𝐨𝐀 𝐈𝐧𝐬𝐢𝐠𝐡𝐭𝐬™. Don’t forget to register to win an 𝐎𝐨𝐧𝐢 𝐊𝐚𝐫𝐮 12 𝐌𝐮𝐥𝐭𝐢-𝐅𝐮𝐞𝐥 𝐏𝐢𝐳𝐳𝐚 𝐎𝐯𝐞𝐧. 𝑺𝒆𝒆 𝒚𝒐𝒖 𝒂𝒕 𝒃𝒐𝒐𝒕𝒉 #1627! #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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  • #AHIP2024 starts today and Medical Review Institute of America, LLC (𝐌𝐑𝐈𝐨𝐀)’𝐬 𝒘𝒊𝒏𝒆 𝒃𝒂𝒓 𝒊𝒔 𝒕𝒐𝒏𝒊𝒈𝒉𝒕! Join Randy Iskowitz, Jamie Suchy and Marise Condon at booth #1627 𝐓𝐎𝐍𝐈𝐆𝐇𝐓 from 6:15 𝐩𝐦 – 7:15 𝐩𝐦 to enjoy our 𝘳𝘦𝘧𝘳𝘦𝘴𝘩𝘪𝘯𝘨 𝘸𝘪𝘯𝘦 𝘣𝘢𝘳 and get a 𝒌𝒆𝒆𝒑𝒔𝒂𝒌𝒆 𝒈𝒍𝒂𝒔𝒔 𝒕𝒐 𝒕𝒂𝒌𝒆 𝒉𝒐𝒎𝒆! 𝐑𝐚𝐧𝐝𝐲, 𝐉𝐚𝐦𝐢𝐞 and 𝐌𝐚𝐫𝐢𝐬𝐞 would be happy to answer your questions about our 𝒊𝒏𝒕𝒆𝒈𝒓𝒂𝒕𝒆𝒅 𝒆𝒅𝒖𝒄𝒂𝒕𝒊𝒐𝒏 𝒑𝒍𝒂𝒕𝒇𝒐𝒓𝒎 that is included as part of 𝐌𝐲𝐂𝐚𝐫𝐞𝐂𝐡𝐨𝐢𝐜𝐞𝐬™ - 𝐏𝐫𝐨𝐚𝐜𝐭𝐢𝐯𝐞 2𝐧𝐝 𝐎𝐩𝐢𝐧𝐢𝐨𝐧 and provides members access to over 2,300 𝘷𝘪𝘥𝘦𝘰𝘴 𝘤𝘰𝘷𝘦𝘳𝘪𝘯𝘨 𝘤𝘰𝘯𝘥𝘪𝘵𝘪𝘰𝘯𝘴, 𝘱𝘳𝘰𝘤𝘦𝘥𝘶𝘳𝘦𝘴 𝘢𝘯𝘥 𝘢𝘭𝘵𝘦𝘳𝘯𝘢𝘵𝘪𝘷𝘦 𝘵𝘳𝘦𝘢𝘵𝘮𝘦𝘯𝘵 𝘰𝘱𝘵𝘪𝘰𝘯𝘴. Or if you want to learn more about how one TPA realized a 17:1 𝐑𝐎𝐈* with our 𝐇𝐢𝐠𝐡-𝐂𝐨𝐬𝐭 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐲 𝐃𝐫𝐮𝐠 𝐑𝐞𝐯𝐢𝐞𝐰𝐬™, 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. 𝑺𝒆𝒆 𝒚𝒐𝒖 𝑻𝑶𝑵𝑰𝑮𝑯𝑻 𝒂𝒕 𝒃𝒐𝒐𝒕𝒉 #1627 𝒂𝒕 𝑨𝑯𝑰𝑷 2024. Be sure to ask how you can register to win an 𝑶𝒐𝒏𝒊 𝑲𝒂𝒓𝒖 12 𝑴𝒖𝒍𝒕𝒊-𝑭𝒖𝒆𝒍 𝑷𝒊𝒛𝒛𝒂 𝑶𝒗𝒆𝒏. *𝘈𝘴 𝘰𝘧 3/30/24 #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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  • Jamie Suchy and Marise Condon are getting excited to see everyone next week at #AHIP2024. Stop by Medical Review Institute of America, LLC (𝐌𝐑𝐈𝐨𝐀)’𝐬 𝐛𝐨𝐨𝐭𝐡 #1627 and say hi to them on 𝐓𝐮𝐞𝐬𝐝𝐚𝐲 𝐧𝐢𝐠𝐡𝐭, 𝐉𝐮𝐧𝐞 11𝐭𝐡, 𝐟𝐫𝐨𝐦 6:15 𝐩𝐦 – 7:15 𝐩𝐦 and enjoy our 𝒓𝒆𝒇𝒓𝒆𝒔𝒉𝒊𝒏𝒈 𝒘𝒊𝒏𝒆 𝒃𝒂𝒓 and get a 𝘬𝘦𝘦𝘱𝘴𝘢𝘬𝘦 𝘨𝘭𝘢𝘴𝘴! While you are there ask how our 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬 𝐏𝐥𝐚𝐭𝐟𝐨𝐫𝐦™ takes the data we receive from our 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐑𝐞𝐯𝐢𝐞𝐰 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 coupled with 𝐌𝐑𝐈𝐨𝐀 𝐈𝐧𝐬𝐢𝐠𝐡𝐭𝐬™ and creates a 𝒑𝒂𝒕𝒊𝒆𝒏𝒕-𝒄𝒆𝒏𝒕𝒆𝒓𝒆𝒅 𝒂𝒑𝒑𝒓𝒐𝒂𝒄𝒉 𝒆𝒏𝒔𝒖𝒓𝒊𝒏𝒈 𝒑𝒂𝒕𝒊𝒆𝒏𝒕𝒔 𝒓𝒆𝒄𝒆𝒊𝒗𝒆 𝒕𝒉𝒆 𝒂𝒑𝒑𝒓𝒐𝒑𝒓𝒊𝒂𝒕𝒆 𝒄𝒂𝒓𝒆 𝒂𝒕 𝒕𝒉𝒆 𝒓𝒊𝒈𝒉𝒕 𝒕𝒊𝒎𝒆 𝒊𝒏 𝒕𝒉𝒆 𝒓𝒊𝒈𝒉𝒕 𝒑𝒍𝒂𝒄𝒆. See you next week at 𝐛𝐨𝐨𝐭𝐡 #1627 at 𝐀𝐇𝐈𝐏 2024. #AHIP2024 #healthcare #healthplans #pbms #tpas #HIPN #teammrioa

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