Medical Review Institute of America

The MRIoA Clinical Solutions Platform™ is a comprehensive suite of data-driven solutions that enables the “right care, at the right time, in the right place” by streamlining clinical decisions, creating a clear path for prior authorization, and offering expert second opinions and utilization review services. Experience valuable data insights, cost savings, and faster decision-making with our innovative technology and patient-centered approach: A ClearPath to Clinically Relevant Simplicity.

Our objective evidence-based clinical reviews including ClearPath Prior Authorization™, specialty appeals and many other types of reviews help increase quality of care for members, reduce costs for payers, simplify processes for providers, and manage overutilization. MRIoA utilizes a proprietary UM analytics and benchmarking database to optimize the prior authorization process, create customized benchmarking, and offer therapeutic alternatives for high-cost specialty drugs. Our actionable insights help ensure appropriate care while providing significant ROI for health plans and providers.