HEALTH APPEALS

As a URAC Accredited Comprehensive (Internal & External) Review organization, ProPeer is at the forefront of providing clinical review services to health plans, managed care organizations, pharmacy benefit managers, and third party administrators looking to ensure the highest quality and timely appeals process. When plan coverage disputes arise, our clients rely on ProPeer to support their utilization management and appeals by processing effective, accurate independent clinical reviews. We support all levels of appeal for internal, state external, and federal external appeals, as well as various peer review services optimized for enhanced client experience.