MES Peer Review Services
Insurance - Norwood, Massachusetts, United States
MES Peer Review Services Employees
MES Peer Review Services Details
MES Peer Review Services (PRS) is a division of MES that services national insurance carriers, self-insured entities, third-party administrators (TPAs), government agencies, and hospitals across the country. PRS is a URAC-accredited Independent Review Organization - Comprehensive (IRO-C) offering independent medical reviews in group health, workers' comp, disability, pharmacy, and fraud & abuse. With access to a broad nationwide network of board-certified physicians and licensed allied professionals from all major specialties and sub-specialties, MES Peer Review Services is able to serve your peer review needs in the following target areas: • Grievances & Appeals• Medical Necessity• Utilization Management • Fraud & Abuse/ SIU• Federal External Reviews • Coding • Pharmacy Benefit Management • Quality of Care/ ComplianceMarkets We Serve:• Group Health- Commercial, Medicare, Medicaid• Workers' Compensation• Disability• Pharmacy Benefit Managers• Special Investigation Units (SIU)• Hospital Quality & Compliance
