Licensed External Review
Licensed External Review Companies
Additional information on this topic
Advanced Medical Reviews (AMR)
www.admere.com
600 Corporate Pointe Ste 300
Culver City, CA 90230
Contact: Crystal Carvotta-Brown
310-470-1491
Fax 310-907-9574
States@admere.com
AllMed Healthcare Management
www.allmedmd.com
111 SW 5th Ave #1400
Portland, OR 97204
Attn: Michael Paul
Email Contacts: externalreviews@allmedmd.com / compliance@allmedmd.com
Phone Number: 800-400-9916
Fax Number: 503-223-6244
Portal: https://peerpoint.allmedmd.com/workflow/Login/login.aspx
Christopher Place Healthcare Review, LLC
www.cphcr.org
2209 Forest Hills Drive, Suite 19
Harrisburg, PA 17112
Contact: Kyle Stavinski
877-305-0944 ext 3
Fax 717-690-0932
kstavinski@cphcr.org
Claims Eval, Inc.
www.claimseval.com
6905 Mystery Lane
Granite Bay, CA 95746
Contact: Elfi Sotomayor
916-797-9997; 916-797-3749 fax
claims_eval@claimseval.com
e.sotomayor@claimseval.com
EdiPhy Advisors, LLC
www.medmanagementllc.com
1500 Urban Center Drive, Suite 325
Birmingham, AL 35242
Contact: Patricia Mandt Prather
205-314-8841; fax 855-317-4089
pprather@medmanagementllc.com
Contact for IRO requests: logging-iro@medmanagementllc.com
H.H.C. Group
www.hhcgroup.com
438 N Frederick Ave, Suite 200A
Gaithersburg, MD 20877-2432
301-963-0762
Fax 301-963-9431
Medical Review Dept: mrp@hhcgroup.com
Questions: Chico Fernandez, Assistant Vice President of Operations cfernandez@hhcgroup.com 301-963-0762 ext. 153
Managed Medical Review Organization, Inc. (MMRO)
www.mmroinc.com
44090 W 12 Mile Road
Novi, MI 48388
Contact: Douglas L. Minke, Vice President
Ph: 866-516-6676
Fax: 248-327-4626
healthcarereview@mmroinc.com
Maximus Federal Services
www.maximus.com
Attn: State Appeals
3750 Monroe Avenue, Suite 705
Pittsford, NY 14534
Contact: Suzanne Tran
Ph: 832-661-1723
SuzanneTran@maximus.com
To send electronically, please send documentation securely to stateappealseast@maximus.com
MCMC Services, LLC
www.mcmcllc.com
1451 Rockville Pike, Suite 440
Rockville, MD 20852
Contact: Joelle Georges
Ph: 301-652-1818
Fax 301-652-1250
joelle.georges@mcmcllc.com
Mitchell International Inc. (dba MCN)
www.mcn.com
Attn: External Review
14499 N. Dale Mabry Hwy, Ste 230-S
Tampa, FL 33618
Contact: Logan Randall
Ph: 503-821-3651
Fax 858-586-2435
logan.randall@mitchell.com
National Medical Reviews, Inc.
nationalmedicalreviews.com
607 Louis Drive, Suite C
Warminster, PA 18974
Contact: Meredith Merlini, Vice President
215-352-7800 x121; 215-352-7801 fax
IRO@nmrusa.com
Network Medical Review Co. Ltd.
www.nmrco.com
1252 Bell Valley Road, Suite 210
Rockford, IL 61108
Contact: Yessenia Jaramillo
815-964-6634 ext. 241170
Cell: 417-763-1812
Fax 815-964-1162
Yessenia.Jaramillo@nmrexamworks.com
ProPeer Resources, LLC
www.propeer.com
5600 Schertz Parkway, # 200
Schertz, TX 78154
Mailing: PO Box 519
Schertz, TX 78154-9998
Contact: Candace A. Daigle
800-292-3051; 888-292-7053 fax
cases@propeer.com
Physio Solutions, LLC DBA medlitix
www.physiosolutions.net
7500 Brooktree Road, Suite 300
Wexford, PA 15090
Contact: Mrs. Susan Hawkins
Phone # 855-323-3654
Fax # 855-323-3654
reviews@physiosolutions.net