Health Plans, TPAs and Self-Insured

medlitix enhances the health plan member experience by providing trusted independent clinical guidance, second opinions, and data-driven utilization analytics and benchmarking. Our review services are designed to improve patient care quality while reducing costs. Each review is thoroughly researched, evidence-based, and summarized concisely, leveraging our expertise in peer review to streamline processes, ensure rapid turnaround times, and maintain exceptional quality.  

Our comprehensive clinical and utilization reviews include initial reviews, appeals, federal and state external reviews, quality of care assessments, DRG clinical validation, and pharmacy reviews. Led by an experienced clinical team, we prioritize accuracy, efficiency, and timely delivery.  

We collaborate closely with our health plan clients to provide customized, high-quality reviews tailored to their specific needs. By partnering with medlitix, your organization can effectively manage caseload fluctuations, utilizing our team as a seamless extension of your review operations team. With medlitix, organizations can ensure appropriate care while achieving better patient outcomes.