Insurance Appeals

A growing number of state insurance departments and self-insured employers rely on VHQC for timely, objective and thorough determinations when enrollees appeal health plan denials.

VHQC's panel of nearly 250 physician reviewers, including nationally recognized experts, means we match the right specialist to the case. The result is a sound, well-supported determination for every type of care, including experimental and investigational treatment.

Our Independent Review Organization services are based on 25 years of experience conducting medical record reviews for government and private sector customers. We understand that every external appeals program is different, customize our processes to meet your requirements, and offer solutions that simplify program administration while promoting enrollee satisfaction.

Learn how VHQC can add value to your health plan appeals program. Contact us today.