Medical Adjudication



A Medical Adjudicator uses their health science knowledge and clinical experience to determine and make decisions for medical eligibility based on medical and demographics information. Guidelines for eligibility are predetermined by the company or agency.

Health Documentation Reviewer

Health Documentation Reviewers are hired by law firms, health and disability insurance companies, on a sub contractual basis and by healthcare facilities to chronologically organize, review and analyze health documentation, for quality assurance, medical audits, facility accreditation and for medical malpractice and liability determinations.