Independent Medical Review | Peer Review

Physician Reviewer Opportunities:

IMEDECS continually seeks qualified physicians to participate on our Medical Review Panel. As an Independent Review Organization, we conduct record reviews of treatments that have been denied by health insurance companies as experimental/investigational or not medically necessary. We conduct peer reviews to ensure that services are being provided in accordance with recognized standards of care. And we review health plan coverage policy to ensure that it is accurate and consistent with current practices and the scientific literature.

Conducting reviews allows a physician to lend an informed, objective voice to the review of coverage decisions, to provide recommendations for improving the quality of care, and to help shape health plan coverage policy to be consistent with the literature and current standards of practice. It is also a mechanism by which to stay abreast of the care being provided by one’s peers.

To be considered for IMEDECS' Medical Review Panel, you must be board certified; hold a current, non-restricted license in a state of the United States and be actively engaged in the practice of medicine. All panel members are credentialed in accordance with URAC standards.

Upon successful credentialing, expert reviewers are "recruited" on a case by case basis to ensure availability, experience with the issue in question, and to screen for potential conflicts of interest. Once assigned to a case review, the expert reviewer is expected to render an accurate, objective decision based on the facts of the case, scientific evidence and national or health plan criteria (as appropriate) in a timely manner.

IMEDECS is currently seeking reviewers in the following specialties:

Allergy and Immunology
Infectious disease
Neurosurgery
Oral Maxillofacial
Otolaryngology
Pediatric Bone Marrow Transplant
Pediatric Endocrinology
Plastic Surgery
Pharm D.

If you are interested, please fill out the form below and click 'Submit'!

Physician Reviewer Submission
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