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Peer Review – Retrospective

Utilization Review - Insurance

Peer Review - Retrospective

URAC Accredited Independent Review Organization

Retrospective Peer Review – involves the review of medical records after medical treatment has occurred.

SFUR physician panelists assist health plans utilizing the health plan evidence-based criteria for delegated and non-delegated initial reviews, telephonic peer consultations, appeals for pre-service, concurrent Utilization Reviews and post-service requests for authorization of services, with the objective getting closure on quality and necessity of care.

Summary

Over 1000 retrospective reviews have been conducted by SFUR’s physicians over the last 25+ years.  Our Payers benefit from retrospective reviews of their physician network which ultimately translates into higher quality care and superior outcomes to their covered patient population.

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