Need help now? Talk to an expert

(888) 831-1171

The Gold Standard in Medical Reviews

Medical Reviews

.Fast .Accurate .Compliant

woman working in the office

Backed by 17 Layers of Quality Control.

Why Leading Health Plans Choose Alera

Health plans, providers, and TPAs rely on Alera for medical reviews that deliver consistent accuracy, fast turnaround, and full regulatory alignment — all backed by our proprietary 17-Point Quality Validation process.

Some organizations come to us after struggling with inconsistent vendor performance. Others simply want the confidence that comes from working with the industry's most disciplined review partner.

National Clinical Expertise

Board-certified physician reviewers assigned to every case.

Rapid Turnaround Without Compromising Quality

92% of reviews delivered in 48 hours or less.

Regulatory-Ready Compliance

URAC Accredited. NCQA, CMS, OIG, HiTrust aligned.

Technology-Driven Transparency

Secure, HIPAA-compliant platform with full case visibility.

White-Glove Service

Dedicated account teams. Proactive communication.

Relentless Quality Oversight

Proprietary 17-Point Validation Process on every case.

 

Comprehensive Independent Review Solutions

  • Utilization Review:
    Prospective | Concurrent | Retrospective | Medical Necessity Determinations

  • Independent Peer Review:
    Board-certified specialty matching. Clinical appropriateness assessments.

  • Appeals & Denials Management:
    Level I, II, III appeal support. Complex external appeals.

  • Medical Director Support:
    Overflow review capacity. Policy consultation. Clinical guidelines refinement.

All services backed by our proprietary 17-Point Quality Validation Process and secure technology platform.

Speak with an Expert

888-831-1171

20+ Years of experience

The Measurable Impact of Excellence

1st Pass Accuracy 99.9 %
On-Time Turnaround
99.8 %
Outreach Success
90 %+

Top Health Plans & Providers Trust Alera To Maintain Clinical and Operational Excellence.

Raise Your Review Standards.
Let's Talk.

CALL

888-831-1171

EMAIL

accounts@aleramedicalreviews.com