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 Creating an Electronic Independent Review Process
By: Skip Freedman


As Independent Review Organizations work to mesh with their clients medical decision making processes, it?s apparent that what?s needed is an electronic interface that allows an Independent Review Organization to connect its work flow to its clients whether they are Third Party Administrators, manage care organizations, health plans, reinsures or self-insured companies. All clients want to be able to send their cases and medical charts with patient hospital information (PHI) to their clients in an easy, seamless and secure fashion. Using Web technology makes perfect sense. As a result, many leading Independent Review Organizations are developing electronic, Web-based applications that will allow them to transact business by receiving and sending clients? cases seamlessly.

AllMed is developing its own Web portal for independent medical reviews and hospital peer reviews. Over the next several months, we will deploy this portal. Already we?re in the process of testing the platform to ensure its quality and plan to start beta tests with existing clients in October or November. We believe that using the Web for performing independent medical reviews and transacting in a secure HIPAA compliant environment makes perfect sense for our company and our clients. Most of our clients are moving in this direction as well and demanding this type of application when selecting an Independent Review Organization.

About AllMed Healthcare Management
Founded in 1995, AllMed is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing customer base for its independent medical review and hospital peer review services includes premier organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers. Read the AllMed Medical News Blog and the Independent Review Organization Blog.



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