Independent Medical Evaluation (IME) & Peer Review Services

GENEX coordinates Independent Medical Evaluations (IMEs) and Peer Review Services nationwide. The IME staff at GENEX Service Centers screens claims and selects one of our consulting physicians to evaluate the medical condition and address claim concerns. In essence, these evaluations assure fair and objective reviews of clinical records, appropriate treatment and minimal delays.

Peer Review is a retrospective review of a practitioner’s medical treatment plan to determine the medical necessity and appropriateness of the treatment rendered. Our physicians are readily available for depositions and testimony, and they will provide comprehensive reports that include recommendations regarding both past and future medical treatment.

GENEX coordinates full-service Peer Reviews out of our four regional IME/Peer Review service hubs. Our pool of physicians provides convenient access to local clinics and offices for Peer Review, providing extensive geographic coverage incorporating all 50 states, Canada and Puerto Rico.

If a provider questions issues of medical necessity and high dollar reductions, our local networks of physician consultants are able to appropriately re-evaluate bill review determinations. The development of local, professional medical claims support allows us to provide additional savings for our clients.