We provide independent medical and medical-economic evaluations designed to support informed decision-making across different levels of complexity.
All evaluations are document-based, non-binding, and performed within a clearly defined scope.

A focused review intended to provide clinical and cost-related overview based on the documentation submitted.

Typically used for:
• Initial case review
• Preliminary clinical or cost questions
• Determining whether a deeper evaluation may be appropriate

Key characteristics:
• Document-based analysis
• Limited analytical scope
• Written, non-binding output

This evaluation does not include a technical or itemized review of procedure or billing codes.

A complete analysis of procedure coding, including identification of bundled services or coding practices that may affect the total estimated cost, requires an 

Extended Review.

Structured clinical and medical-economic evaluation performed after a procedure or admission, when sufficient documentation is available.

This evaluation may assess:

• appropriateness of procedures versus the initial clinical plan or authorization (e.g., initial GOP), 
• level of care (LOC), 
• length of stay (LOS), and 
• overall reasonableness of costs using applicable benchmarks.
   

This level of evaluation builds upon the scope of the Brief Evaluation by providing structured analytical determinations when supported by documentation.

For detailed review of procedure coding, bundling rules, or itemized estimates, an Extended Evaluation is required.

Typically used for:
• Claims review support
• Clinical and utilization assessment
• Medical-economic reasonableness analysis

Key characteristics:
• Broader analytical depth
• Clinical and economic perspective
• Written, non-binding evaluation

This evaluation incorporates the analytical scope of Type 1 — Pre-Procedure Clinical–Economic Orientation, and expands upon it by providing structured, post-procedure or post-admission determinations when supported by documentation. 

A comprehensive medical and medical-economic evaluation designed for complex cases requiring deeper analytical review.

Typically used for:
• Complex or high-value cases
• Extended utilization or cost analysis
• Detailed documentation-driven review

Key characteristics:
• Expanded analytical scope
• Structured, in-depth evaluation
• Written, non-binding output

This level of review incorporates the full analytical scope of Type 2 — Structured Clinical–Economic Evaluation, including all elements of Type 1, and extends the analysis to detailed billing review, coding practices, and over-utilization assessment when applicable.

The scope and depth of each evaluation depend on the completeness, quality, and legibility of the documentation provided at submission.
All evaluations are conducted strictly within the selected scope.

If the available documentation supports a different evaluation scope, this will be communicated before proceeding.

Our services do not include:
• Medical advice or clinical care
• Emergency or time-sensitive care

• Treatment recommendations
• Coverage, payment, or authorization determinations

Final clinical and financial decisions remain with treating providers, patients, and payers.