This month, we’re thrilled to recognize a group of incredible colleagues celebrating their work anniversaries! Each of you brings something unique to the table, and your ongoing growth and contributions continue to elevate us all. We’re proud of what we’ve built together—and even more excited for what’s ahead. Congratulations on your 5+ years with MRIoA, and thank you for being such a vital part of our team! MICHELE B., STEPHANIE R., HEATHER G., SABRINA T., RILEY P., BILLIE JEAN B., CARREY S. #teammrioa #workanniversary
Medical Review Institute of America
Hospitals and Health Care
Salt Lake City, Utah 4,532 followers
Quality, Innovation, and Experience: Setting Us Apart
About us
Medical Review Institute of America, LLC (MRIoA) was incorporated in 1983. Today MRIoA is an industry leader in providing external review resources for over 800 clients nationwide. MRIoA provides review of medical, dental, behavioral health, pharmacy, vision, disability, workers' compensation, and auto claims for insurance carriers, employers, TPAs, self- administered union groups, pharmacy benefit managers, human resource consultants and departments of insurance throughout the country. MRIoA utilizes a nationwide network of board-certified physician specialists and professionals in over 133 specialties and sub-specialties of medicine. MRIoA also has reviewers in most states, offering the most extensive same-state reviewer resources available from an external review organization. MRIoA holds dual accreditation with URAC with certificates in Health Utilization Management and as an Independent Review Organization. In addition we are NCQA and SSAE 16 certified. MRIoA's goal is to render a professional, independent and unbiased opinion to assist our clients with their adjudication challenges or to provide an external source to comply with ERISA/DOL or state laws. MRIoA reviews cases prospectively, concurrently and retrospectively for: Medical Necessity, Appropriate Treatment, Experimental Procedures, Utilization Frequency, Appropriate Hospitalization, Formulary Criteria Review, Pre-Existing Conditions, Injury Causation, CPT Coding, Level of Disability, Provider Fees, Outpatient Facility Fees, and all Diagnostic Testing and Charges. MRIoA has provided state-level external review in many states since 2001. MRIoA is also contracted with hundreds of clients to offer Federal External Review under the ACA.
- Website
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http://xmrrwallet.com/cmx.pwww.mrioa.com
External link for Medical Review Institute of America
- Industry
- Hospitals and Health Care
- Company size
- 501-1,000 employees
- Headquarters
- Salt Lake City, Utah
- Type
- Privately Held
- Founded
- 1983
- Specialties
- Review of Health,, Pharmacy and, Workers Compensation claims., State and Federal level External Review, Nurse Review, and Precert Medical Director Review
Locations
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Primary
2875 South Decker Lake Drive
Suite 300
Salt Lake City, Utah 84119, US
Employees at Medical Review Institute of America
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Megan Callahan
CEO | Board Member | ex Lyft, Change Healthcare, McKesson
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Russ Wynn
Talent Acquisition Leader that proactively levels up Talent Acquisition teams, candidate experience, and recruiting tools.
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P. Bruce Ebrahimpour, MD, FAAOS
Orthopaedic Surgeon
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Chris Brandl
Executive Leader helping companies design and execute strategies to increase revenue, lower cost and retain customers
Updates
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For the third year in a row, MRIoA has been named a Best Place to Work in Healthcare! This continued recognition is especially meaningful, as we’re proud to maintain a mission-driven culture built on clinical excellence, innovation, and integrity. A heartfelt thank you to our outstanding team members. This award wouldn’t be possible without your support and dedication. You make MRIoA a truly great place to work.
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The 2025 Health Care Administrators Association® (HCAA) TPA Summit in Dallas is just around the corner, and we're looking forward to conversations dedicated to advancing healthcare administration and real-world strategies for the self-funding market. Jamie Suchy and Marise Condon will be there to connect and share how TPAs can navigate challenges like gene and cell therapy reviews, GLP-1 utilization, and prior authorization delays. Want to learn how one of our TPA clients achieved a 17:1 ROI on High-Cost Specialty Drugs? Schedule a coffee break with us here: https://xmrrwallet.com/cmx.plnkd.in/gu8XFwcX #HCAATPASummit
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We look forward to attending the 2025 Health Care Administrators Association® (HCAA)TPA Summit in Dallas on July 21-23rd! We will be onsite to share how we're helping reduce costs, improve care quality, and manage clinical complexity. #HCAATPASummit
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A big round of applause for all our employees celebrating you work anniversary this month! Celebrating these milestones matter. They represent progress, collaboration, and all the great things that happen when talented people work with purpose. We’re honored to recognize this group and the positive influence you bring to your colleagues and the company as a whole. Here’s to celebrating your journey—and looking forward to what’s next! LINDA W., NEENA B., KELLY H., NICOLA C., SHABREE R., DANIEL P., KYLEE Y., KATOMI M., ANNA M., DANIELLE R., MICHAELA V., NATALIE S., RILEE W., JAMIE D., KAREEM A., NATHALIE Q., CRYSTAL J., KATIE O., CONNIE E., MEG L., RHONDA J., JEREMY N., FELISHA B., JOHN H., SANDY W., CASSMIER K., FRIDA E., ADDISON R., CHRISTOPHER S. #workanniversary #teammrioa
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We're encouraged by AHIP's recent announcement detailing health plans' commitments to streamline and reduce prior authorization requirements. At MRIoA, we've long championed the use of technology-enabled, evidence-based clinical reviews to ensure timely, appropriate, and affordable care. These new industry commitments include expanding real-time electronic prior authorizations, reducing the scope of procedures requiring prior approval, and improving transparency. All of which align with our mission to enable the right care, at the right time, in the right place. We stand ready to support this transformation through our PA Optimization services, payers can confidently prior authorize only what is needed and reduce the administrative burden of unnecessary prior authorizations. Our clients reduce unnecessary care by $10M over a three year period per 100K members delivering the “right care, at the right time, in the right place." Together, we can transform healthcare to deliver better experiences for patients and providers alike. #PriorAuthorization #HealthcareInnovation #PriorAuthReform
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Navigating the complexities of healthcare decisions? MRIoA's Clinical Solutions Platform ensures the right care at the right time. Discover how our data-driven reviews and second opinions enhance patient outcomes and reduce costs. Learn more at https://xmrrwallet.com/cmx.pwww.mrioa.com/
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Shifting risk and elevating care. Can at-risk models deliver better care for Medicare Advantage? Elligint Health outlines how this model may be delivering superior results than their fee-for-service (FFS) counterparts. And with more than half of all Medicare beneficiaries now choosing Medicare Advantage plans — the potential is real. Learn more in this quick read: https://xmrrwallet.com/cmx.plnkd.in/g3smw_8W
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TOMORROW! Prior authorization is evolving, and evolving quickly. Join leaders from MRIoA and Itiliti Health for a conversation that goes beyond pain points, and focuses on the challenges behavioral health is currently facing. Expect real, actionable insights for payers who want to make smarter, human-centered decisions. Here's your LAST CHANCE to register: https://xmrrwallet.com/cmx.plnkd.in/gZrn2RV4 #HealthTech #BehavioralHealth #PriorAuthorization
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