BEE ADMINISTRATIVE SOLUTIONS

973-813-5020

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  • Services
    • External Medical Reviews
    • Legal Admin Support
    • Medical Records Request
    • Office Support
    • Project Management
    • Bookkeeping
  • Support Videos
  • Privacy Policy
  • More
    • Home
    • Services
      • External Medical Reviews
      • Legal Admin Support
      • Medical Records Request
      • Office Support
      • Project Management
      • Bookkeeping
    • Support Videos
    • Privacy Policy

973-813-5020

BEE ADMINISTRATIVE SOLUTIONS
  • Home
  • Services
    • External Medical Reviews
    • Legal Admin Support
    • Medical Records Request
    • Office Support
    • Project Management
    • Bookkeeping
  • Support Videos
  • Privacy Policy

Independent & External Medical Reviews

Independent & External Medical Reviews

 At BEE Administrative Solutions, we offer independent and external medical reviews to support fair and evidence-based resolutions for medical disputes. Our review process is objective, confidential, and fully compliant with HIPAA regulations.

What Are Independent Medical Reviews?

 

An Independent Medical Review (IMR) is a third-party evaluation of medical records, treatment plans, or claims, performed by a licensed medical expert with no prior involvement in the case. These reviews help resolve disputes between patients, providers, and payers regarding the necessity, appropriateness, or quality of medical care.

IMRs are especially critical in cases involving:

  • Denials of coverage or reimbursement
     
  • Disputes over medical necessity
     
  • Requests for second opinions
     
  • External reviews mandated by healthcare plans, state regulations, or legal proceedings

Types of Reviews We Offer

 

BEE Administrative Solutions provides a range of clinical and specialty-specific reviews, including:

  • Medical Necessity Reviews
     
  • Utilization Reviews
     
  • Peer Reviews
     
  • Behavioral Health Evaluations
     
  • Dental Treatment Reviews
     
  • Pharmacy Claim Reviews
     
  • Workers' Compensation and Disability Reviews
     
  • Pre-authorization and Appeals Case Reviews 

Each review is tailored to meet regulatory requirements, contractual standards, and payer guidelines. 

BEE'S Medical Review Specialists

STANDARDS FOR OUR MEDICAL REVIEW SPECIALIST

 We maintain a national network of board-certified and licensed medical experts with a minimum of 9 years’ experience in their specialty. Our reviewers include:

  • Physicians (MDs, DOs)
     
  • Dentists (DDS, DMD)
     
  • Psychologists (PsyD, PhD)
     
  • Chiropractors (DC)
     
  • Pharmacists (PharmD)
     
  • Specialists in nursing, physical therapy, audiology, and more
     

Every reviewer undergoes a thorough vetting process and signs strict Precertification, Conflict of Interest, and Confidentiality Agreements prior to accepting assignments. We ensure complete neutrality and adherence to ethical standards.

Turnaround Time

 

We understand the urgency of medical reviews. Our typical turnaround times are:

  • Standard Review: 7 business days
     
  • Expedited Review: 3 business days
     
  • Custom timelines may be arranged for large-volume or specialized reviews

HIPAA Compliance & Data Security

 BEE Administrative Solutions is fully HIPAA-compliant. All records are handled with strict confidentiality and transmitted via secure, encrypted channels. We follow best practices for privacy, cybersecurity, and records retention. 


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