CareReview / Solutions
Clinical Solutions With Real Impact
Independent, evidence-based review across seven lines of business — delivered on Stradix® and backed by full URAC accreditation.
Clinical Solutions With Real Impact
Independent, evidence-based review across seven lines of business — delivered on Stradix® and backed by full URAC accreditation.
Clinical Solutions with Real Impact for People
CareReview delivers high-quality, independent clinical and utilization reviews that help health plans, PBMs, TPAs, and government entities improve member outcomes, ensure appropriate care, and manage costs.
Our comprehensive services—including appeals, external reviews, pharmacy, workers' compensation, disability, IME, and quality of care evaluations—are performed by experienced clinicians using our proprietary technology and supported by a nationwide network. With full URAC accreditation, licensing in all 50 states, and industry-leading turnaround times, CareReview sets the standard for service excellence, clinical integrity, and transformative healthcare partnerships.
Certified Network
CareReview provides a national network of certified clinical specialists. We foster productive clinical partnerships with our specialty panels through regular engagement and support.
Our internal clinical support team provides appropriate training and guidance, as identified by our quality oversight process, to improve quality and performance. Our clinical team regularly communicates and shares insights from their ongoing review experiences. We also offer access to advanced technology, ensuring our reviewers have the flexibility to work at their convenience and optimize their productivity.
- Licensed and credentialed
- Diverse experience across multiple lines of business and market segments. Strong communication and interpersonal skills
- Our specialty clinicians are actively practicing and familiar with the most recent evidence-based standards of care
- Quality performance is guided by regulatory, accreditation, and internal quality management
Stradix® – CareReview's Proprietary Cloud Platform
Stradix® is our cloud-based solution designed with our healthcare partners in mind. Offering a wide range of services, Stradix® is our commitment to meeting the unique needs of our clients with innovative, efficient solutions that streamline the user experience in a cybersecure environment.
Client Portal
Our client portal allows users to easily make referrals, retrieve essential information, and customize the interface to suit their specific needs, providing a seamless experience.
Reviewer Portal
This flexible tool enhances productivity and time management, offering portable access for round-the-clock availability. It integrates case specific instructions, while providing easy access to medical records, diagnostic images, prior reviews, and regulatory requirements.