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Do IROs conduct utilization reviews?

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Do IROs conduct utilization reviews?

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Some IROs offer both utilization review and independent medical review services. However, most IROs provide specialty medical review services to utilization review entities, which bundle it into their UR offerings. AllMed does not provide utilization review services directly to health plans or subscribers; however, it works with many top utilization review and medical management firms nationwide, providing the specialist “engine” that makes UR decisions on organ transplants, oncology treatments and other complex medical issues.

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