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Physician Advisor and Peer Review
Peer Review From a Large Network of Credentialed Physicians
Physician-level review support for escalations and decisions that hold up, with broad specialty coverage and consistent documentation.
MORE UTILIZATION REVIEW SOLUTIONS
Key Metrics
1600
Licenses Across All Jurisdictions
487
Active Peer Reviewers
67
Speciality Types
Benefits
- Get the right physician for the case, matched by specialty
- Support decisions that hold up in appeals, audits and disputes
- Add physician review capacity without rebuilding your full UR program
Features
National Network of Credentialed Peer Review Physicians
In Active Practice or Active in Medical Teaching
Specialty Matching and Routing Support
Support for Initial and Appeal-Level Reviews
Optional Physician Advisor Consultation Services
Resources
Utilization Review Decision Manager (URDM)
Learn how URDM bridges the gap between utilization review and bill processing for better results.
Inside the Digital Shift of New York Workers’ Compensation
Explore the innovative digital transformation of New York's workers' compensation system with the NY Workers' Compensation Board's 2024 conference highlights.
Combatting New Jersey Auto Casualty Challenges
When an auto injury occurs, insurers—especially in New Jersey, where strict requirements apply—often struggle to coordinate with multiple vendors, a challenge addressed along with potential solutions by Ben Roberts, vice president of utilization review at Genex.
URAC Certification
Learn about our URAC accreditation.
Frequently Asked Questions
What types of cases are best for peer review?
Complex, disputed, high-cost, or escalated requests where a physician opinion is needed.
Do you match by specialty?
Yes. Cases can be routed to the appropriate specialty based on the clinical question.
Can peer review support appeals?
Yes. Peer review can support escalation paths including appeals, based on your program design.
Is this only for workers’ comp?
No. Peer review can support both workers’ comp and auto use cases.
Let’s Connect
Let’s collaborate to see how we can provide your organization with an effective, efficient and compliant utilization review solution.