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Division of Insurance
Utilization Review Organization Listing
Current as of December 2024
Aetna Health Management, LLC
Aetna Life Insurance Company
Alaris Group, Inc. (The)
Allmed Healthcare Management, Inc.
Amalgamated Medical Care Management, Inc.
American Dental Examiners, Inc.
American Health Holding Inc.
American Specialty Health Group, Inc.
AmeriHealth Administrators, Inc.
Ameritas Life Insurance Corp.
AUMSI UM Services, Inc.
Broadspire Services, Inc.
Capital Rx, Inc.
Care Continuum, Inc.
CareCentrix, Inc.
Carelon Behavioral Health, Inc.
Carelon Medical Benefits Management, Inc.
CarelonRX, Inc.
CaremarkPCS Health, LLC
Case Management Specialists, Inc.
Centene Pharmacy Services, Inc.
Chesterfield Resources, Inc.
CIGNA Health Management, Inc.
Cohere Health, Inc.
Communitas, Inc.
Conifer Care Continuum Solutions, LLC
Contigo Health, LLC
CorVel Healthcare Corporation
Cotiviti, Inc.
CVS Health Solutions , LLC
DAKOTACARE Administrative Services, Inc.
Dane Street, LLC
Dental Benefit Providers, Inc.
DSM USA Insurance Company, Inc.
Evernorth Behavioral Health, Inc.
EviCore Healthcare MSI, LLC
Evolent Specialty Services, Inc.
ExamWorks, Inc.
EXLService Philippines, Inc.
Express Scripts Utilization Management Company
First Choice Health Network, Inc.
Fulcrum Health, Inc.
HCare Holdco, Inc. dba Healthcare Strategies
HealthHelp, LLC
HealthSmart Care Management Solutions, LP
Highmark Inc.
Hines & Associates, Inc.
IEC Group Inc.
Inetico, LLC
Informed Medical Decisions, Inc.
Insight Service Group
Integrity Medicolegal Enterprises
Keystone Peer Review Organization, Inc.
Legato Health Technologies Philippines, Inc.
Lifetime Benefit Solutions, Inc.
Lucent Health Care Management, LLC
Luminare Health Benefits, Inc.
Magellan Healthcare, Inc.
MCMC Services, LLC
Medical Evaluation Specialists, Inc.
Medical Review Institute of America, Inc.
Medicall
MedWatch, LLC
Mitchell International, Inc.
National Programmatic Utilization Alliance, LLC
New Directions Behavioral Health, LLC
Nexus Enterprises, LLC
Oncology Analytics, Inc.
OptumHealth Care Solutions, LLC.
OptumRx, Inc.
Orthonet, LLC
P & R Dental Strategies, LLC
PerformRx, LLC
PreferredOne Administrative Services
Prest & Associates, LLC
Prime Therapeutics, LLC
Prime Therapeutics Management, LLC
ProPeer Resources, LLC
Radiant Services, LLC
Rising Medical Solutions, LLC
Sagility, LLC
Skygen USA, LLC
South Dakota Chiropractic Peer Review
South Dakota Foundation for Medical Care
Stubbe Dakota Case Management
Telligen, Inc.
UMR, Inc.
United Behavioral Health
United Concordia Companies, Inc.
United HealthCare Services, Inc.
UnitedHealthcare Life Insurance Company
Usable Mutual Insurance Company
USIS, Inc.
Wellmark Blue Cross Blue Shield
WholeHealth Living, Inc.
Winfertility, Inc.
Wisconsin Physicians Service Insurance Corporation
*dba - doing business as