Loading
...
Our teams connect healthcare payers from both commercial and government healthcare markets with Board Certified Physicians nationwide through customized medical review solutions.
PeerLink Medical physicians are experienced, Board Certified Professionals focused on delivering comprehensive, quality review services , efficiently and accurately.
PeerLink Medical is URAC accredited, and our physician advisors and proprietary technology conform to the highest professional and regulatory standards.
Our teams connect healthcare payers from both commercial and government healthcare markets with Board Certified Physicians nationwide through customized medical review solutions.
PeerLink Medical physicians are experienced, Board Certified Professionals focused on delivering comprehensive, quality review services , efficiently and accurately.
PeerLink Medical is URAC accredited, and our physician advisors and proprietary technology conform to the highest professional and regulatory standards.
Utilization & Clinical Reviews based on state and recognized treatment guidelines
Pre-certification/prospective review:
This is a review for medical necessity conducted by a medical/clinical professional to determine the appropriateness of future medical care interventions that have been requested by an attending physician.
Concurrent Review:
Utilization management conducted during a patient’s hospital stay or course of treatment. This type of review relates to contemporary interventions during a course of treatment.
Retrospective Review:
This is a medical necessity/appropriateness review concerning interventions that have already occurred. It may relate to medical appropriateness of interventions.
Often with peer-to-peer conversation
When activity restrictions are imposed, our physicians provide an independent assessment of such restrictions OR consolidate different restrictions imposed by different providers
Utilization and Clinical reviews based on specific health plan criteria and standards of care
Initial review services to establish appropriateness of care and compliance
Appeals and disputes
Invetigational reviews to address possible fraud and abuse
Pharmacy and Formulary reviews to address safety and efficiency
Retrospective and prospective medication review
As complex as medication requests may get, there are several factors to consider when reviewing medication requests. Medication interactions, dependency, compliance, weaning or simply monitoring are considerations that are increasingly important in the long-term management of chronic patients. Our pharmacy review services help guide management.
Obtain a quality second opinion for First Party No-Fault & PIP medical claims
Confirm diagnoses, medical necessity, causality and MMI
Address diagnostics, future treatment needs and any pre-existing health conditions
State and specialty matching where required
Peer-to-peer consultations available upon request
State, Federal & Specialized medical review programs
We accelerate government efficiency in healthcare administration with proprietary technology built to service, scale and advance healthcare delivery at the "speed of need".
Utilization & Clinical Reviews based ...
Activity restrictions or causation
Utilization and Clinical reviews based on ...
Retrospective and prospective medication review ...
Obtain a quality second opinion for ...
State, Federal & Specialized medical ...
Connecting Physicians and Healthcare carriers.
Our clients are insurance companies, claims adjusters, or employers rendering Worker’s Compensation or Group Health services and benefit from:
Our Physician Advisors are all in active clinical practice and board-certified in their respective specialties. We are hiring and training qualified physicians at any time. Physicians join us for a number of reasons:
Call us: (310) 893 6390
Contact us online
San Francisco, CA
8 years of exp.
Los Angeles, CA
25 years of exp.
Dallas, TX
10 years of exp.
Los Angeles, CA
15 years of exp.
What it takes to become a PeerLinkPhysican Advisor
PeerLink is currently specifically looking to recruit these specialties, but we are also hiring Utilization Review Nurses, Pharmacists, or PA's to assist with quality assurance
Joining our Panel comes with many benefits
PeerLink edits and maintains a condensed database of evidence-based criteria
The PeerLink Library of Evidence-based Medicine is the criteria digest that you always wished you would havehad. Based on tens of thousands of conducted reviews, close monitoring of the primary guideline sources per jurisdiction and the latest research, the PeerLink Library is an edited compilation of the most frequently applied criteria.
We make available this resource both to ensure uniform standards across our reviewer panel; but also for your convenience.
With different jurisdictions, emerging research and frequent revision cycles, we have found the PeerLink Library to have become an indispensable tool for our Physician Advisors.
What it takes to become a PeerLinkPhysican Advisor
We are hiring Physicians, Physicians Assistants, Pharmacists and Utilization Review Nurses
Joining our Panel comes with many benefits
PeerLink edits and maintains a condensed database of evidence-based criteria
We would be delighted to have you consider making your clinical expertise available through PeerLink Medical.
By applying to become credentialed as a PeerLink Physician Advisor, you ensure that your time conducting peer review is accounted for in the most efficient and rewarding manner. We employ sophisticated technology to minimize the administrative or clerical burden on you, allowing more of your precious time to be spent on what matters the most: exercising your clinical judgment and applying your expertise to patient data and guidelines criteria. We put the most powerful tools in the industry right at your fingertips and are confident that you will find that those will take the hassle out of peer review and leverage your involvement. Thank you for considering to become part of our team!
PeerLink Medical LLC operates nationwide and has developed a sophisticated platform, Peer-X-Change, to connect independent physician advisors nationwide with healthcare payers.
We contract with a nationwide panel of independent physician advisors to cover most specialties in most jurisdictions.
PeerLink Medical focuses on Worker’s Comp, but our physician advisors are available to conduct all other types of reviews such as IMR's or closure reviews.
PeerLink understands the time sensitive nature of medical peer review. Based on that foundation, we have developed a rush-system that consists of technological components and a dedicated team of Utilization Review Physicians who have volunteered to make themselves available on a rush basis.
PeerLink advisors conduct a significant share of the nationwide independent peer review volume.
Our Hub structure ensures convenient access to our services throughout the nation.
PeerLink Medical LLC