MES Peer Review Services

MES Peer Review Services (PRS) is a division of MES that services national insurance carriers, self-insured entities, third-party administrators (TPAs), government agencies, and hospitals across the country. PRS is a URAC-accredited Independent Review Organization - Comprehensive (IRO-C) offering independent medical reviews in group health, workers’ comp, disability, pharmacy, and fraud & abuse. With access to a broad nationwide network of board-certified physicians and licensed allied professionals from all major specialties and sub-specialties, MES Peer Review Services is able to serve your peer review needs in the following target areas: • Grievances & Appeals • Medical Necessity • Utilization Management • Fraud & Abuse/ SIU • Federal External Reviews • Coding • Pharmacy Benefit Management • Quality of Care/ Compliance Markets We Serve: • Group Health- Commercial, Medicare, Medicaid • Workers’ Compensation • Disability • Pharmacy Benefit Managers • Special Investigation Units (SIU) • Hospital Quality & Compliance