CareReview offers a suite of Clinical Review Services with a reputation for quality, experience, and customer service, focusing on innovative solutions for our healthcare partners.
Clinical solutions with
to patient outcomes
CareReview offers a suite of Clinical Review Services with a reputation for quality, experience, and customer service, focusing on innovative solutions for our healthcare partners.
CareReview brings long-term clinical support partnerships to market, ensuring a collaborative approach that benefits everyone in the healthcare continuum.
Hitrust
Certified
URAC
accredited
Results
Driven
Experienced
Integration
Collaboration
Clinical
Validation
Compliance
focused
Hitrust
Certified
URAC
accredited
Results
Driven
Trusted
Partner
Integrated
Solutions
Collaborative
Evidence-
Based
Compliance
Driven
We deliver expert clinical review services for group health organizations across commercial, self-funded and government health programs. Our physician and allied health team drives smarter utilization, appeals, quality, and integrity decisions. Whether routine cases or urgent high-volume projects, we ensure timely, accurate reviews that lead to better patient outcomes.
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Our pharmacy benefit solutions are supported by our flexible technology, helping to deliver fast, independent determinations, improving efficiency and outcomes. By matching cases with the right expertise, we promote appropriate medication use through smarter, more accountable decisions.
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Our disability review services deliver fair, evidence-based assessments of claimant functionality. For short-term, long-term, or complex cases, CareReview physician reviewers provide consistent, objective opinions that uphold integrity and efficiency.
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Our workers’ compensation services deliver independent, evidence-based evaluations to support accurate claims and appropriate care. With specialty-matched physicians, we assess medical necessity, treatment appropriateness, and guideline compliance—helping payers and employers make timely decisions that drive recovery and protect claim integrity.
Our independent medical exam (IME) services provide objective, evidence-based evaluations by board-certified, specialty-matched physicians. We assess treatment, and function to deliver clear decisions with speed and integrity.
Our specialty bill review and fee negotiation services help payers and ensure fair reimbursement. Using clinical expertise, analytics, and national benchmarks, we review complex, high-dollar bills for accuracy, necessity, and compliance—while proactive negotiations deliver defensible savings, reduce disputes, and protect care quality.
People expect more than a transactional experience, and that's what we do.
At CareReview, exceptional results start with extraordinary leadership. Our executive team has the proven expertise, industry insight, and vision to solve complex healthcare challenges. Driven by a passion for innovation and a relentless commitment to excellence, we work side-by-side with our partners to deliver smarter, faster, and more effective solutions. It’s this leadership-first approach that sets CareReview apart in delivering unmatched value to the healthcare organizations we serve.
CareReview connects organizations with a national network of certified, licensed clinical specialists who bring diverse experience and strong communication skills. Our actively practicing clinicians follow the latest evidence-based standards of care, guided by regulatory and internal quality benchmarks. Through ongoing engagement, tailored training, and advanced technology, we foster productive partnerships and empower reviewers to deliver consistent, high-quality results.
Join the CareReview network of medical experts and become part of a nationwide team dedicated to improving healthcare decisions. Whether you’re a physician, allied health professional, or specialist, CareReview provides the resources, support, and professional community you need to grow your career while maintaining work-life balance.
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