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.
Board-certified physician reviewers assigned to every case.
92% of reviews delivered in 48 hours or less.
URAC Accredited. NCQA, CMS, OIG, HiTrust aligned.
Secure, HIPAA-compliant platform with full case visibility.
Dedicated account teams. Proactive communication.
Proprietary 17-Point Validation Process on every case.
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 Gold Standard in Medical Reviews
1-888-831-1171
accounts@aleramedicalreviews.com
Alera Medical Reviews is a division of BHM Healthcare Solutions, a well respected healthcare solutions firm founded in 2002.
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