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Our Services

At FHAS, we are committed to providing exceptional service across all disciplines.
Our expertise and professionalism ensure that our clients receive high-quality support tailored to their specific needs.

Independent Medical Claim Services

FHAS provides expertise in conducting URAC-certified Independent Review Organization (IRO) medical reviews and claim adjudications across all medical specialties. We offer peer-to-peer and specialty-to-specialty match reviews that can include any of the American Board of Medical Specialties (ABMS) specialties, supporting organizations like Medicare Advantage (MA), ERISA and large employer-sponsored plans, Medicaid Managed Care organizations (MCOs), and Veterans Health Administration (VHA) in their quality improvement efforts.

Our 27+ years of independent medical review expertise includes the following: 3rd Level External Reviews, Peer Review, Provider Outreach and Education, Medical Coverage Decisions, Bill Review Audits, Pharmacy Claims Review, Malpractice Claims, Risk Management, Prior Authorizations and pre-certifications, and Corporate Integrity Agreement (CIA) Audits.

FHAS provides the highest level of quality medical decisions. FHAS employs a Quality Assurance (QA) Department comprised of our Medical Director, Project Manager, and Director of Quality, who are tasked with reviewing all medical reviews prior to issuance to ensure quality objectives are met.

Our services cover various issues, including prescription drugs, medical necessity, surgery, experimental treatments, out-of-network issues, and correct coding. We work with federal departments to adjudicate healthcare reimbursement disputes between healthcare providers and health carriers/plans, utilizing mandatory arbitration proceedings to finalize payment amounts for healthcare services.

At FHAS, we take pride in our commitment to excellence, integrity, and professionalism. Our diverse range of services is backed by a team of experienced professionals dedicated to delivering high-quality results that meet the unique needs of our clients.

Contact us today to learn more about how our services can benefit you or your organization.

Your Trusted Partner in Independent
Dispute Resolution

Choose FHAS as your trusted partner in Independent Dispute Resolution and experience the unparalleled service that has solidified our position as the nation’s leading IDR-focused entity in the federal marketplace.

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FHAS

Address

117 West Main Street Plymouth, PA 18651

570-779-5122

800-664-7177 (Toll-Free)