Company lists · Data refreshed September 2026

Top 25 Utilization review companies worldwide

RevenueBase identified 131 utilization review companies worldwide as of September 2026 and tracks 3,793 professional contacts across them, including 1,063 with verified work emails. The United States is the largest market and Atlanta the largest hub.

This list covers utilization review companies worldwide, matched on what each company actually does as described in its own words. Ranked by team size, largest first. Every row shows the company's own description, its RevenueBase Smart Search rating, and when it was last checked. Data refreshed September 22, 2026. Country and city lists for utilization review companies follow the table.

Published by RevenueBase, a B2B data infrastructure company. This list was built with RevenueBase Smart Search, the natural-language company search RevenueBase customers use to build their own targeted lists and unlock verified emails and direct dials at the companies on them. How these lists are built and judged.

How to read this list HQ checked on every row RevenueBase Smart Search rating on every row Refreshed Sep 22, 2026 86% judged on-target in blind review
131Companies
3,793Contacts tracked
1,063Verified emails
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The 25 largest utilization review companies worldwide

Ranked by team size
Top 25 of 131 utilization review companies worldwide, ranked by team size, largest first. Data refreshed Sep 22, 2026. RevenueBase Smart Search rates how each company's information relates to utilization review companies: strong evidence (its own description names it), partial (names part of it), indirect (matched on the rest of its profile rather than the description shown). Click a contact count to view that company's people.
#CompanyRevenueBase Smart SearchHeadquartersEmployeesContacts
1Strong evidenceRockville, MD, United StatesHQ checked Sep 22, 2026501-1,000386 contacts →

Strong evidence

“MCMC’s Independent Peer Review program compliments your appeal, claims, prior-auth, utilization, and case management programs by providing the comprehensive physician expertise…”

Source: RevenueBase Database · checked Sep 22, 2026
2Indirect evidenceWoburn, MA, United StatesHQ checked Sep 22, 2026201-500378 contacts →

Indirect evidence

“MES Solutions (MES) is one of the first companies established to provide the claims community access to credentialed physicians with expertise in conducting Independent Medical…”

Source: RevenueBase Database · checked Sep 22, 2026
3Strong evidenceSalt Lake City, UT, United StatesHQ checked Sep 22, 2026501-1,000341 contacts →

Strong evidence

“Medical Review Institute of America (MRIoA) is a leading, tech-enabled utilization management company that delivers high-quality, expert clinical reviews, regulatory guidance, and…”

Source: RevenueBase Database · checked Sep 22, 2026
4Partial evidenceNashville, TN, United StatesHQ checked Sep 22, 202651-200171 contacts →

Partial evidence

“Advent Health Partners was founded in 2010 as an outsourced healthcare claims review vendor.”

Source: RevenueBase Database · checked Sep 22, 2026
5Strong evidencePortland, OR, United StatesHQ checked Sep 22, 202651-200143 contacts →

Strong evidence

“AllMed Healthcare Management is a utilization management and independent review organization providing comprehensive nurse and physician review solutions to payers and plan…”

Source: RevenueBase Database · checked Sep 22, 2026
6Strong evidenceSchertz, TX, United StatesHQ checked Sep 22, 202651-200141 contacts →

Strong evidence

“Nexus is dedicated to providing the highest quality of service in the field of utilization review.”

Source: RevenueBase Database · checked Sep 22, 2026
7Partial evidenceIrvine, CA, United StatesHQ checked Sep 22, 20265,001-10,000120 contacts →

Partial evidence

“Stratacare and Strataware solutions, incuding medical bill review and other clinically driven cost containment solutions, are now part of the Conduent family.”

Source: RevenueBase Database · checked Sep 22, 2026
8Indirect evidenceWhite Plains, NY, United StatesHQ checked Sep 22, 2026501-1,00093 contacts →

Indirect evidence

Source: RevenueBase Database · checked Sep 22, 2026
9Partial evidenceUnited StatesHQ checked Sep 22, 2026201-50087 contacts →

Partial evidence

“Emperion is a URAC-accredited Independent Medical Examination (IME) and review organization serving Workers' Compensation, Automobile, Disability, and Health benefit systems.”

Source: RevenueBase Database · checked Sep 22, 2026
10Strong evidenceWestlake Village, CA, United StatesHQ checked Sep 22, 2026201-50069 contacts →

Strong evidence

“CID provides highly efficient extreme quality focused utilization review and management for large self insured employers, insurance companies, TPAs and municipalities.”

Source: RevenueBase Database · checked Sep 22, 2026
11Indirect evidenceMelville, NY, United StatesHQ checked Sep 22, 202651-20063 contacts →

Indirect evidence

“Support Claim Services, Inc,(a URAC accredited organization) also known as SCS, was established in 1991 to provide efficient medical cost containment services with quality…”

Source: RevenueBase Database · checked Sep 22, 2026
12Partial evidenceRockford, IL, United StatesHQ checked Sep 22, 202651-20062 contacts →

Partial evidence

“Network Medical Review Co.(NMR) is one of the oldest and most respected URAC accredited Independent Review Organizations (IRO).”

Source: RevenueBase Database · checked Sep 22, 2026
13Partial evidenceLong Beach, CA, United StatesHQ checked Sep 22, 202651-20059 contacts →

Partial evidence

“Advanced Medical Reviews (AMR), one of the country's top medical peer review organizations, delivers services to a diverse group of healthcare and legal organizations, including…”

Source: RevenueBase Database · checked Sep 22, 2026
14Indirect evidenceSalem, NH, United StatesHQ checked Sep 22, 202651-20055 contacts →

Indirect evidence

“Amalgamated Medical Care Management is a premier national Medical Management company providing a comprehensive suite of high quality care management services.”

Source: RevenueBase Database · checked Sep 22, 2026
15Indirect evidenceSyosset, NY, United StatesHQ checked Sep 22, 202651-20051 contacts →

Indirect evidence

“MedSource National serves insurance carriers, employers, third party administrators and the legal profession with personal service and quick referrals to a national network of…”

Source: RevenueBase Database · checked Sep 22, 2026
16Partial evidenceNorthville, MI, United StatesHQ checked Sep 22, 202651-20049 contacts →

Partial evidence

ReviewWorks robust offering of Medical Review Services has a proven performance record of outstanding results united with excellent customer service.”

Source: RevenueBase Database · checked Sep 22, 2026
17Indirect evidencePlano, TX, United StatesHQ checked Sep 22, 202651-20046 contacts →

Indirect evidence

“We're more than a vendor, we're a partner.”

Source: RevenueBase Database · checked Sep 22, 2026
18Partial evidenceEast Brunswick, NJ, United StatesHQ checked Sep 22, 202651-20046 contacts →

Partial evidence

“Healthcare Quality Strategies, Inc.(HQSI) offers independent medical review services for private and government insurers, hospitals, third-party administrators, and employers.”

Source: RevenueBase Database · checked Sep 22, 2026
19Partial evidenceNashville, TN, United StatesHQ checked Sep 22, 2026501-1,00046 contacts →

Partial evidence

“Acentra is now Kepro & IMEDECS @Acentra Health a national independent review organization known throughout the healthcare industry for its high-quality medical reviews, extensive…”

Source: RevenueBase Database · checked Sep 22, 2026
20Strong evidenceNovi, MI, United StatesHQ checked Sep 22, 202651-20043 contacts →

Strong evidence

“ManageAbility provides the following services: • Medical Case Management • Vocational Rehabilitation • Medical Bill ReviewUtilization Review • Medical Cost Projection • Peer…”

Source: RevenueBase Database · checked Sep 22, 2026
21Indirect evidenceElgin, IL, United StatesHQ checked Sep 22, 2026201-50042 contacts →

Indirect evidence

“Hines, a member of the Global Excel family, has built it's reputation as an industry leader, founded on over three decades of innovative and professional healthcare excellence.”

Source: RevenueBase Database · checked Sep 22, 2026
22Partial evidenceAustin, TX, United StatesHQ checked Sep 22, 202651-20040 contacts →

Partial evidence

“Founded in 1996, Medical Equation is one of the first companies in the country to provide independent utilization management services for the insurance industry.”

Source: RevenueBase Database · checked Sep 22, 2026
23Partial evidenceBuffalo, NY, United StatesHQ checked Sep 22, 202651-20040 contacts →

Partial evidence

“First Choice Evaluations provides independent medical evaluation and review services to insurance carriers, third-party administrators, self-insureds and law firms.”

Source: RevenueBase Database · checked Sep 22, 2026
24Partial evidenceMt Laurel, NJ, United StatesHQ checked Sep 22, 202651-20039 contacts →

Partial evidence

“Prizm has provided medical management and medical bill review services to the auto, property and casualty markets.”

Source: RevenueBase Database · checked Sep 22, 2026
25Partial evidenceSouthfield, MI, United StatesHQ checked Sep 22, 202651-20036 contacts →

Partial evidence

“The MLS Group of Companies is the leading provider of Independent Medical Evaluations, Peer Review Services, and Functional Capacity Evaluations.”

Source: RevenueBase Database · checked Sep 22, 2026

Showing 25 of 131 utilization review companies worldwide

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Utilization review companies worldwide at a glance

As of Sep 22, 2026
28.0%Verified-email coverage
29.0Average contacts per company
11-50Median size (employees)
2.3%Largest-city concentration · Atlanta
Sep 22, 2026Page data refreshed

Companies by employee count

1-10
31
11-50
49
51-200
38
201-500
6
501-1,000
4
1,001-5,000
2
5,001-10,000
1

Email recency is reported on each country list linked below.

How this list was built

Company categories are rarely black and white. RevenueBase reads each company's own description of its business to decide whether it belongs among utilization review companies, so some rows will be adjacent to the category rather than pure plays. The description and RevenueBase Smart Search rating on every row are there so you can check each match yourself.

Source
The RevenueBase company graph: 60 million companies and 398.9 million professional contacts resolved from primary sources, queried with RevenueBase Smart Search, the natural-language company search available to every RevenueBase user.
Coverage
Every country. Country and city lists for utilization review companies are linked below.
What qualifies
Companies worldwide whose own description of what they do matches “utilization review companies”. Matching reads each company's description, not its industry code or its name.
RevenueBase Smart Search
RevenueBase Smart Search is how this list is assembled and how each row is rated. RevenueBase's data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to a category defined in a user's own words. Each row is rated strong evidence (its own description names utilization review companies), partial evidence (it names part of the category) or indirect evidence (the description shown names none of it and the match rests on the rest of the company's profile). The description supporting each rating is quoted on the row.
What we exclude
Companies whose own description does not clearly place them among utilization review companies, and records with no verified work email.
Match quality
In blind human judging of this matching method, 86% of matched companies were on target. Expect roughly 1 in 7 rows to be adjacent to the category rather than a pure play. Every row shows the company's own description and its RevenueBase Smart Search rating so you can judge each match yourself. Read the full methodology: how the lists are built, how the judging worked, and what the figure means.
Ranking
Team size, largest first: companies are ordered by the number of professionals RevenueBase tracks at each one. Employee ranges shown are reported bands, for context.
Verification
Every listed company carries at least one verified work email, 1,063 across the full list. Contacts re-verify on a rolling cadence, and each contact's own verification date is shown inside RevenueBase.
Refresh
This page's figures were pulled from the company graph on September 22, 2026. Lists refresh periodically as the graph is re-checked.
Corrections
Wrong category, wrong headquarters, or a company that has closed? Use “Report an issue” on any row. Reports go to the RevenueBase Data Team and feed back into the company graph.

Utilization review companies by location

1 lists · largest first

Every Utilization review companies list RevenueBase publishes, by country and city. Counts are matching companies in each list as of its own refresh date.

Countries

Frequently asked

What is RevenueBase Smart Search?

RevenueBase Smart Search is how RevenueBase decides which companies belong on this list and how strongly each one fits. Its data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to the category the list is about. Each row is rated strong evidence when the company's own description names utilization review companies, partial evidence when it names part of the category, and indirect evidence when the description shown names none of it and the match rests on the rest of the company's profile.

How many utilization review companies are there worldwide?

RevenueBase identified 131 utilization review companies worldwide as of September 2026, matched on each company's own description of what it does rather than its industry code.

What is the largest company on this list?

Mcmc Services, LLC, headquartered in Rockville, tops this list with the largest team on record.

Which country has the most utilization review companies?

The United States leads with 108 companies. Every utilization review companies list by country and city is linked on this page.

Which city has the most utilization review companies?

Atlanta leads with 3 headquartered companies, followed by Austin (2) and Dublin (2).

How do I get contact information for these companies?

A free RevenueBase account lets you run this exact search and work the top results, verified emails and direct dials included. Upgrading unlocks all 1,063 verified decision-maker contacts tracked across these 131 companies.

How current is this list?

The list refreshes periodically as the company graph is re-checked. This page's figures were pulled on September 22, 2026.

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About this data

RevenueBase is a B2B data infrastructure company. Its company graph covers 60 million companies and 398.9 million professional contacts, with emails verified on a rolling cadence rather than scraped once and left to decay. These company lists are generated directly from that graph with RevenueBase Smart Search, the same natural-language company search every RevenueBase user has: describe a market in plain words, get the companies that match, and add verified emails and direct dials for the people at them. It is the same data that powers RevenueBase's B2B data products, and a free account includes 500 credits to start. How these lists are built and judged.