CLAIMS EVAL, INC

Capabilities

Claims Eval Inc. is a URAC-accredited Independent Review Organization headquartered in Rocklin, CA. We provide Peer Review services to regional and national Workers’ Compensation, Disability, Auto, Liability, Group Health, Managed Care Organizations, Employers, Pharmacy Benefit Managers and Medicare Set-Aside providers. Our national peer review panel of licensed, board certified, actively practicing physicians constantly update their knowledge, staying abreast of new developments and standards of care in their fields. Our objective is to help you reach appropriate medical determinations throughout the claims management process. By providing timely, objective and conclusive reviews that are defendable and evidence-based, our peer-to-peer consultation addresses medical necessity, causality and appropriateness of care.