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.