Marcia Hultman

Cabinet Secretary

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Division of Insurance

Utilization Review Organization Listing

Current as of September 2023

Active Health Management, Inc.
Aetna Health Management, LLC
Aetna Life Insurance Company
Alaris Group, Inc. (The)
Amalgamated Medical Care Management, Inc.
American Dental Examiners, Inc.
American Health Holding Inc.
American Specialty Health Group of South Dakota, Inc.
AmeriHealth Administrators, Inc.
Ameritas Life Insurance Corp.
Ascential Care Partners
AUMSI UM Services, Inc.
Broadspire Services, Inc.
Care Continuum, Inc.
CareCentrix, Inc.
Carelon Behavioral Health, Inc.
Carelon Medical Benefits Management, Inc.
Carelon Post Acute Solutions, Inc.
CarelonRX, Inc.
CaremarkPCS Health, LLC
Case Management Specialists, Inc.
Centene Pharmacy Services, Inc.
Chesterfield Resources, Inc.
CIGNA Health Management, Inc.
Clinix Healthcare
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
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.
Magellan Rx Management, LLC
MCMC Services, LLC
Medical Evaluation Specialists, Inc.
Medical Review Institute of America, Inc.
MedWatch, LLC
Mitchell International, Inc.
National Imaging Associates, Inc.
National Programmatic Utilization Alliance, LLC
NCH Management Systems, Inc. (dba New Century Health)
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
ProPeer Resources, LLC
Radiant Services, LLC
Rising Medical Solutions, LLC
Skygen USA, LLC
South Dakota Chiropractic Peer Review
South Dakota Foundation for Medical Care
Stubbe Dakota Case Management
Telligen, Inc.
The Travelers Indemnity Company of Connecticut
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 Networks, Inc.
Winfertility, Inc.
Wisconsin Physicians Service Insurance Corporation

*dba - doing business as

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