Medical Review Institute of America

Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and actionable insights. MRIoA supports health plans, pharmacy benefit managers (PBMs), third-party administrators, and other healthcare organizations to deliver timely, appropriate care, reduce unnecessary costs, navigate complex regulatory and compliance requirements, and improve provider and member satisfaction. Leveraging the largest panel of actively practicing, same-specialty physicians and clinical experts with licenses in all 50 states, MRIoA offers configurable solutions that leverage innovative ways to boost efficiency and improve outcomes. MRIoA has the clinical and regulatory expertise to ensure clients stay compliant and has certifications from HITRUST, NCQA, URAC, and UR licensing in all states where required.​