Company lists · Data refreshed September 2026

Top 25 Utilization review platforms worldwide

RevenueBase identified 105 utilization review platforms worldwide as of September 2026 and tracks 6,040 professional contacts across them, including 1,658 with verified work emails. The United States is the largest market and Teaneck the largest hub.

This list covers utilization review platforms 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 29, 2026. Country and city lists for utilization review platforms 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 29, 2026 86% judged on-target in blind review
105Companies
6,040Contacts tracked
1,658Verified emails
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The 25 largest utilization review platforms worldwide

Ranked by team size
Top 25 of 105 utilization review platforms worldwide, ranked by team size, largest first. Data refreshed Sep 29, 2026. RevenueBase Smart Search rates how each company's information relates to utilization review platforms: 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
1Indirect evidenceFargo, ND, United StatesHQ checked Sep 29, 20261,001-5,0001,292 contacts →

Indirect evidence

“Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state and commercial health care programs through a full suite of innovative offerings, including…”

Source: RevenueBase Database · checked Sep 29, 2026
2Indirect evidenceTeaneck, NJ, United StatesHQ checked Sep 29, 202610001+968 contacts →

Indirect evidence

“Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era.”

Source: RevenueBase Database · checked Sep 29, 2026
3Strong evidenceAtlanta, GA, United StatesHQ checked Sep 29, 20265,001-10,000641 contacts →

Strong evidence

“The ExamWorks Group platform, family company services, applications and portals for the management of independent medical claim review are the assets of choice among claims…”

Source: RevenueBase Database · checked Sep 29, 2026
4Indirect evidenceTempe, AZ, United StatesHQ checked Sep 29, 20261,001-5,000614 contacts →

Indirect evidence

“Centauri Health Solutions aims to attract and retain the industry’s top talent as we continue to create and deliver the most flexible and innovative tools in the market.”

Source: RevenueBase Database · checked Sep 29, 2026
5Strong evidenceSalt Lake City, UT, United StatesHQ checked Sep 29, 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 29, 2026
6Indirect evidenceBangalore, IndiaHQ checked Sep 29, 202651-200168 contacts →

Indirect evidence

“Remedinet - An IHX Company, had its origins in 2006, founded as HealthSprint Networks, exploring the opportunity in the healthcare insurance space.”

Source: RevenueBase Database · checked Sep 29, 2026
7Strong evidencePortland, OR, United StatesHQ checked Sep 29, 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 29, 2026
8Strong evidenceSchertz, TX, United StatesHQ checked Sep 29, 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 29, 2026
9Partial evidenceParsippany, NJ, United StatesHQ checked Sep 29, 202651-200116 contacts →

Partial evidence

“Agadia is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in…”

Source: RevenueBase Database · checked Sep 29, 2026
10Indirect evidenceWhite Plains, NY, United StatesHQ checked Sep 29, 2026501-1,00093 contacts →

Indirect evidence

Source: RevenueBase Database · checked Sep 29, 2026
11Strong evidenceWestlake Village, CA, United StatesHQ checked Sep 29, 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 29, 2026
12Partial evidenceRockford, IL, United StatesHQ checked Sep 29, 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 29, 2026
13Partial evidenceLong Beach, CA, United StatesHQ checked Sep 29, 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 29, 2026
14Indirect evidenceSan Jose, CA, United StatesHQ checked Sep 29, 202611-5051 contacts →

Indirect evidence

“DataCare provides intelligent software that helps organizations manage complex medical, administrative, and claims-related workflows more efficiently.”

Source: RevenueBase Database · checked Sep 29, 2026
15Partial evidenceNashville, TN, United StatesHQ checked Sep 29, 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 29, 2026
16Indirect evidenceBoston, MA, United StatesHQ checked Sep 29, 202651-20046 contacts →

Indirect evidence

“We revolutionize your operations with our innovative healthcare software solutions, empowering payers and providers to conduct fact-based operations, effectively manage members…”

Source: RevenueBase Database · checked Sep 29, 2026
17Indirect evidenceElgin, IL, United StatesHQ checked Sep 29, 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 29, 2026
18Partial evidenceAustin, TX, United StatesHQ checked Sep 29, 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 29, 2026
19Partial evidenceBuffalo, NY, United StatesHQ checked Sep 29, 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 29, 2026
20Indirect evidenceArlington, TX, United StatesHQ checked Sep 29, 202651-20038 contacts →

Indirect evidence

“CareReview assists healthcare partners in delivering the right care at the right time by leveraging a broad network of clinical specialists.”

Source: RevenueBase Database · checked Sep 29, 2026
21Indirect evidenceUnited StatesHQ checked Sep 29, 202651-20037 contacts →

Indirect evidence

“Health Information Designs (HID) is the independent, objective clinical services company dedicated to providing solutions that maximize quality of care while limiting financial…”

Source: RevenueBase Database · checked Sep 29, 2026
22Indirect evidenceDublin, OH, United StatesHQ checked Sep 29, 202651-20033 contacts →

Indirect evidence

“Partner with us for healthcare management.”

Source: RevenueBase Database · checked Sep 29, 2026
23Partial evidenceRocklin, CA, United StatesHQ checked Sep 29, 2026201-50032 contacts →

Partial evidence

“Claims Eval is a URAC accredited Independent Review Organization providing timely, objective and conclusive reviews to the Workers’ Compensation, Disability, Auto, Liability and…”

Source: RevenueBase Database · checked Sep 29, 2026
24Partial evidenceWexford, PA, IrelandHQ checked Sep 29, 202611-5031 contacts →

Partial evidence

“medlitix is a URAC Accredited Comprehensive Independent Review Organization (Internal and External).”

Source: RevenueBase Database · checked Sep 29, 2026
25Indirect evidenceVitória, BrazilHQ checked Sep 29, 202611-5031 contacts →

Indirect evidence

“Somos a Genesis Tecnologia, uma empresa capixaba com 25 anos de experiência, dedicada a transformar a Gestão Médica.”

Source: RevenueBase Database · checked Sep 29, 2026

Showing 25 of 105 utilization review platforms worldwide

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Utilization review platforms worldwide at a glance

As of Sep 29, 2026
27.5%Verified-email coverage
57.5Average contacts per company
11-50Median size (employees)
2.9%Largest-city concentration · Teaneck
Sep 29, 2026Page data refreshed

Companies by employee count

1-10
26
11-50
33
51-200
30
201-500
4
501-1,000
3
1,001-5,000
6
5,001-10,000
1
10001+
2

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 platforms, 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 platforms are linked below.
What qualifies
Companies worldwide whose own description of what they do matches “utilization review platforms”. 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 platforms), 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 platforms, 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, 1,658 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 29, 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 platforms by location

1 lists · largest first

Every Utilization review platforms 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 platforms, 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 platforms are there worldwide?

RevenueBase identified 105 utilization review platforms 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?

Noridian Healthcare Solutions, LLC, headquartered in Fargo, tops this list with the largest team on record.

Which country has the most utilization review platforms?

The United States leads with 78 companies. Every utilization review platforms list by country and city is linked on this page.

Which city has the most utilization review platforms?

Teaneck leads with 3 headquartered companies, followed by Atlanta (2) and Boston (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 1,658 verified decision-maker contacts tracked across these 105 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 29, 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.