HealthClaim Review

Since 1996, Considine & Associates, now with our current trade name of HealthClaim Review® is an independent review organization that has provided health care payers with medical claims audit and physician specialist reviews, serving a wide range of clients nationwide. As one of the original six medical peer review companies, we have focused on medical claims review and physician specialist peer to peer review. We have been continuously URAC-accredited since 2006. With 30 years in the industry, we have an unequaled track record of providing multiple review methodologies in multiple payer markets that include health plans, ERISA plans, third party administrators, MGU/Stop Loss firms, brokers, as well as other cost containment companies that require physician specialist medical review expertise.

 

We have always been different because of multiple core competencies: claims and coding expertise, physician specialist knowledge, and hospital/facility/medical bill audit. These core attributes have allowed us to serve multiple payer markets. Customized and creative client response help our clients persevere and grow in today’s ever changing health care marketplace. When doing review, we never forget the “Three Ps” of healthcare: Patient, Payer and Provider. All three segments are always valued and considered.​