Company lists · Data refreshed September 2026
Top 25 Utilization review companies based in the United States
RevenueBase identified 108 utilization review companies headquartered in the United States as of September 2026 and tracks 3,367 professional contacts across them, including 970 with verified work emails. Atlanta is the largest hub.
This list covers utilization review companies headquartered in the United States, 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.
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.
The 25 largest utilization review companies based in the United States
Ranked by team size| # | Company | Contacts | |||
|---|---|---|---|---|---|
| 1 | 386 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, 2026Thanks. The Data Team will review it. | |||||
| 2 | 378 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, 2026Thanks. The Data Team will review it. | |||||
| 3 | 341 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, 2026Thanks. The Data Team will review it. | |||||
| 4 | 171 contacts → | ||||
Partial evidence “Advent Health Partners was founded in 2010 as an outsourced healthcare claims review vendor.” Source: RevenueBase Database · checked Sep 22, 2026Thanks. The Data Team will review it. | |||||
| 5 | 143 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, 2026Thanks. The Data Team will review it. | |||||
| 6 | 141 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, 2026Thanks. The Data Team will review it. | |||||
| 7 | 120 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, 2026Thanks. The Data Team will review it. | |||||
| 8 | 93 contacts → | ||||
Indirect evidence Source: RevenueBase Database · checked Sep 22, 2026Thanks. The Data Team will review it. | |||||
| 9 | 69 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, 2026Thanks. The Data Team will review it. | |||||
| 10 | 63 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, 2026Thanks. The Data Team will review it. | |||||
| 11 | 62 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, 2026Thanks. The Data Team will review it. | |||||
| 12 | 59 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, 2026Thanks. The Data Team will review it. | |||||
| 13 | 55 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, 2026Thanks. The Data Team will review it. | |||||
| 14 | 51 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, 2026Thanks. The Data Team will review it. | |||||
| 15 | 49 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, 2026Thanks. The Data Team will review it. | |||||
| 16 | 46 contacts → | ||||
Indirect evidence “We're more than a vendor, we're a partner.” Source: RevenueBase Database · checked Sep 22, 2026Thanks. The Data Team will review it. | |||||
| 17 | 46 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, 2026Thanks. The Data Team will review it. | |||||
| 18 | 46 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, 2026Thanks. The Data Team will review it. | |||||
| 19 | 43 contacts → | ||||
Strong evidence “ManageAbility provides the following services: • Medical Case Management • Vocational Rehabilitation • Medical Bill Review • Utilization Review • Medical Cost Projection • Peer…” Source: RevenueBase Database · checked Sep 22, 2026Thanks. The Data Team will review it. | |||||
| 20 | 42 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, 2026Thanks. The Data Team will review it. | |||||
| 21 | 40 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, 2026Thanks. The Data Team will review it. | |||||
| 22 | 40 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, 2026Thanks. The Data Team will review it. | |||||
| 23 | 39 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, 2026Thanks. The Data Team will review it. | |||||
| 24 | 36 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, 2026Thanks. The Data Team will review it. | |||||
| 25 | 33 contacts → | ||||
Indirect evidence “Partner with us for healthcare management.” Source: RevenueBase Database · checked Sep 22, 2026Thanks. The Data Team will review it. | |||||
RevenueBase Smart Search
RevenueBase Smart Search assesses information from a company’s LinkedIn profile, information supplied directly by the company, its website, and other publicly available sources. It uses that information to rate how closely the company relates to this list’s category: utilization review companies. Every row carries its rating and the description the rating was read from, so each one can be checked rather than taken on trust.
- Strong evidence
- The company's own public description of its business names utilization review companies.
- Partial evidence
- Its own public description names part of utilization review companies, so it works in or next to the category without describing itself that way.
- Indirect evidence
- The description shown does not name utilization review companies. The match rests on the rest of the company's public profile rather than the one sentence quoted here, so this is the rating to check first.
RevenueBase Smart Search is how these lists are built: RevenueBase's data engine and AI assemble the companies that match a category defined in a user's own words, so a list can be about what companies actually do rather than about whichever industry code they were filed under.
Showing 25 of 108 utilization review companies based in the United States
See the full list, filter by size, metro and specialty, and get verified emails and direct dials for all 970 reachable decision-makers.
Free signup · no credit card
Utilization review companies based in the United States at a glance
As of Sep 22, 2026Companies by employee count
Email recency for this list is measured worldwide rather than for United States, so it is reported there. Company counts and contact totals on this page are exact for United States, over 108 companies.
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.
- What qualifies
- Companies headquartered in the United States 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. Companies headquartered outside United States are excluded even when they keep an office there.
- 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, 970 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.
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 based in the United States?
RevenueBase identified 108 utilization review companies headquartered in the United States 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 city has the most utilization review companies?
Atlanta leads with 3 headquartered companies, followed by Austin (2) and East Brunswick (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 970 verified decision-maker contacts tracked across these 108 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.
Ready to reach these companies? Verified emails and direct dials for all 108 utilization review companies based in the United States. Start with a free account, no credit card.
Download this list →Related lists
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.
More company lists
- All company lists
- Lists by location
- Lists A-Z
- New lists
- AI companies based in the United States
- Cybersecurity companies based in the United States
- Manufacturing companies based in the United States
- Media companies based in the United States
- Oil and gas companies based in the United States
- Real estate companies based in the United States