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St. Thomas Health Care Medical Review

With so many new options for peer review services, it's important to be selective when choosing a medical peer review provider. Medical Review by St. Thomas Health Care can help you resolve complex or contested workers' compensation claims using board-certified physicians who offer a wide breadth of specialties. We provide pharmacy reviews, utilization reviews, complex chart reviews, Family Medical Leave Act (FMLA) Reviews, disability reviews, and claims adjudication services in a timely and cost-efficient manner.

Our medical opinion review services can not only help you contain medical costs, but also streamline your utilization review process, provide the Medical Advisor coverage you need, and help you ensure compliance with URAC, HIPAA and jurisdictional requirements.

Our Medical Peer Review Process

The Medical Review St. Thomas Health Care program handles all functions related to the peer review component of the overall utilization review process, including:

  • Location of a qualified Medical Advisor, based on St. Thomas Health Care and jurisdictional requirements
  • Case assignment to a qualified Medical Advisor
  • Medical Advisor evaluation of all documents provided with the case, as well as the injured employee's medical history
  • Peer-to-Peer Consultation as needed when a Medical Advisor anticipates a non-certification based solely on the information provided
  • Generation of a detailed Physician Advisory Report to outline the Medical Advisor's recommendation
  • All reviews are subject to our industry-leading Quality Management process

Contact us at 866-248-5709

Note: St. Thomas Health Care prohibits the discrimination of both patients and employees. For more information.


CONVENIENT LOCATIONS

Find us at more than 50 locations across the United States. More opening soon!

CURRENT SPECIALS

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PATIENT FEEDBACK

  • I had a wonderful visit. From the receptionist and nurses, to the doctor, everyone was very kind and attentive. They mad...

    Patient Name
    22.08.2014
  • I had a wonderful visit. From the receptionist and nurses, to the doctor, everyone was very kind and attentive. They mad...

    Patient Name
    22.08.2014
  • I had a wonderful visit. From the receptionist and nurses, to the doctor, everyone was very kind and attentive. They mad...

    Patient Name
    22.08.2014
  • I had a wonderful visit. From the receptionist and nurses, to the doctor, everyone was very kind and attentive. They mad...

    Patient Name
    22.08.2014

News Flash and Promo

Every year, Howard Foundation provides emergency medical care to people & communities caught in crises in some 70 countries around the world.

Howard Foundation is now part of the Doctors of Hope Foundation.

St. Thomas Asssurance Program now offers VIP Assurance.

VIP Extra Assurance gives you more for less.

Unlimited access to St. Thomas Health Care network at one low monthly rate.

St. Thomas Health Care offers a range of occupational health services to support employers in maintaining a healthy, safe workforce while reducing the overall cost of health care for your company and employees.

St. Thomas Health Care provides, vaccinations for childen as young as 12 months through seniors are administered by a physician, Nurse Practitioner or physician assistant.

No appointment necessary.

Whether you are an athlete, a student or just need a physical for employment purposes, the board certified medical professionals at your local St. Thomas Health Care are happy to help.

If you have been concerned about your weight and diet, visiting St. Thomas Health Care could be a step in the right direction.

We understand weight loss can be difficult for some people.


About Us

St. Thomas Health Care is one of the top providers of unplanned medical care in the US. Our pleasant doctors, skilled staff and inviting atmosphere put St. Thomas health clinics far ahead of traditional hospitals and health care centers. Read More>>


Corporate OFFICE

  • 700 Wilshire Blvd, Los Angeles CA 90017
  • 866-248-5709
  • 866-248-5709

BILLING OFFICE

  • 1110 W La Palma Ave  Anaheim, CA 92801 
  • 866-248-5709
  • 866-248-5709