External Medical Reviews
At Pinnacle Review Group LLC, we specialize in providing independent, evidence-based external medical reviews for healthcare cases that have been denied coverage after internal appeals.
Our goal is to ensure fair, unbiased, and compliant determinations that support transparency and trust across all parties involved health plans, patients, and providers.
What We Do
Our external medical reviews help determine whether the care or service in question meets medical necessity and appropriateness standards. Each review is conducted by a board-certified physician with expertise in the relevant specialty area.
Our Review Process Includes
Comprehensive evaluation of medical records and documentation
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Case assignment to the appropriate specialty reviewer
Evidence-based and regulatory-compliant determinations
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Clear and timely reporting for clients and stakeholders
Why Choose Pinnacle Review Group?
Independent and unbiased medical reviews
Qualified physician reviewers across multiple specialties
Transparent communication and fast turnaround times
100% HIPAA-compliant data handling
Ready to Request a Review?
Partner with Pinnacle Review Group for reliable, compliant, and evidence-based external medical reviews.