iAGS - PEER REVIEW / UTILIZATION REVIEW

Excellence in Peer Review & Utilization Review







PEER REVIEW / UTILIZATION REVIEW / CONCURRENT REVIEW

iAGS completes evidence-based medical peer reviews for a wide array of clients in the healthcare and insurance markets. Each specialty-matched peer review delivers a comprehensive, evidence-based report that addresses case-specific questions. Members of iAGS's nationwide peer review panel are available to work with all insurance and market types, delivering expert and supported opinions for each case or client-specific needs, evaluating:

OUR FEATURES

  • Causality
  • Return-to-work concerns
  • Restrictions and limitations
  • Standard of care
  • Diagnosis
  • Level of impairment

Additionally, Utilization Reviews comprise a subset of Medical Peer Reviews and answer questions related to the following:

  • Appropriateness of treatment
  • Medical necessity
  • Whether a treatment is considered experimental in nature

Peer Reviews and Utilization Reviews are requested by and are completed for all insurance types iAGS serves:

Disability, Worker's Compensation, Auto/PIP/Liability, and Health Insurance Plans. Utilization Reviews can be completed as pre-certifications (before treatment is provided), concurrent (while treatment is being provided), and retrospectively to a course of treatment.