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Providing Medical Reviews to the Health Care Industry Real Responses. Real Time. Real People.
Utilization Management
Workers’ Compensation
Quality of Care
Providing specialty-matched peer review
NMR supports the workers’ compensation
NMR performs independent audits to assist
services, NMR supports the healthcare claim
claims process through its specialty-matched
healthcare facilities, health plans and/or
process by determining the medical necessity
peer review services according to established
government agencies in determining the
and reasonableness of healthcare services
criteria and guidelines while addressing
quality of care provided to the consumer,
and/or procedures according to established
causality, reasonableness/necessity, MMI,
while identifying any deficiencies such as mis-
criteria or guidelines at all levels of reviews.
functional capacity and/or disability. Read
utilization, over-utilization, and/or fraud waste
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and abuse. Read more Õ
NMR is an Independent Internal and External Medical Review Organization with URAC Accreditation Since 1996 NMR has been serving: Insurance Companies © State Insurance Departments © Third Party Administrators © Federally Regulated Agencies © ERISA Regulated Benefit Plans © Utilization Management Companies © Hospitals State Agencies © HMO © Self-funded Plans © PPO © Fee-for-Service © Medicare © Medicaid © Workers Comp © PBMs Internal Reviews
Cost Effective
Expedient
Rescission Reviews
Highly Competitive
Specialty Matched
Quality of Care Reviews
No Conflicts of Interest
Peer to Peer Contact
Independent External Reviews
Evidence Based Determinations
Customized Client Reporting
Partner with NMR
Peer Reviewer Panel
Regulatory Compliance
NMR utilizes a solution oriented approach to
NMR’s panel consists of 500 individual
NMR accesses resources to maintain
meet the needs and expectations of our
providers, representing over 700 board
regulatory compliance with federal, state and
clients. Contact us to see how our flexible
certifications, specialties and state licenses
national accrediting bodies applicable to all
operational model can fit your current or
nationwide. All reviewers are fully credentialed
levels of the review process within the
future needs. Read more Õ
in accordance with URAC standards. Read
changing healthcare marketplace. Read
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NMR provides high quality,
NMR’s panel consists of 500
National Medical Reviews Inc.
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objective, and cost effective
individual providers, representing
607 Louis Drive, Suite C
About Us
independent medical reviews and
over 700 board certifications,
Warminster, PA 18974
Certifications
examination services to the
specialties and state licenses
Phone: (215) 352-7800
Reviewer Panel
healthcare industry. Read more
nationwide. Read more
[email protected]
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