In the age of AI, why choose us?
While other companies are letting AI write determinations, we continue to use professionals to ensure reliable and defendable outcomes. We are keeping costs low, while keeping quality high by utilizing streamlined methods, and proficient licensed professionals. See our thoughts on AI in the medical determination workspace, and why continued use of licensed professionals matters.
Big Ideas, Real Impact
Why Work With Us
Specialized ABA Expertise
ABA authorization requests require reviewers who understand the nuances of behavior analytic treatment, can evaluate the appropriateness of proposed intervention hours, and can distinguish between medically necessary services and those that fall outside policy parameters. Our certified credentials and extensive clinical backgrounds ensure reviews that are both clinically sound and policy-compliant.
Who We Serve
Our services are designed for commercial health plans and third-party administrators who need:
Specialized clinical expertise for ABA authorization reviews
Additional UR capacity during high-volume periods
Independent clinical opinions on complex cases
Consistent, policy-based determinations for ABA services
Ready to discuss how we can support your utilization management needs? Contact us to learn more about our review services and capacity.