Data-driven medical review solutions powered by unmatched expertise, credentials, and services—trusted by commercial payors, providers, and government agencies nationwide for scale and efficiency.
Business Process Services for Healthcare Organizations
FHAS deploys scalable, intelligent platforms that harness the power of automation to revolutionize medical review. Embedding human expertise and empathy into smart systems, we deliver faster, more consistent, and cost-effective decisions with clinically sound standards and meaningful insights.
Trusted by Clients. Validated by Industry.
Organizations We Serve
Our suite of specialized review service is tailored for the unique challenges commercial health plans, governments, and contractors face in the healthcare and government services market.
Health Plans
Cut costs and improve accuracy with FHAS’s accredited reviews that protect your plan from improper payments.
FHAS empowers health plans manage high-stakes reviews with confidence. Our URAC-accredited services—covering medical necessity review, utilization management, and dispute resolution—deliver defensible decisions that reduce administrative waste, safeguard compliance, and minimize financial exposure.
Federal Government
Reduce fraud, waste, and abuse, and deliver independent oversight for federal health programs.
Federal agencies—from Medicare to veterans’ health programs—rely on FHAS to protect program integrity and taxpayer resources. Our accredited clinical and legal experts deliver independent adjudication, claims review, and appeals management that detect and reduce fraud, waste, and abuse while meeting statutory requirements.
State Governments
Reduce backlog and strengthen compliance in Medicaid and CHIP programs with FHAS’s adjudication and review services.
From eligibility reviews to hearings and legal adjudication, FHAS partners with state and territorial agencies to reduce administrative delays, ease pressure on resources, and preserve access to care for vulnerable populations.
Government Contractors
Meet federal program mandates with FHAS’s accredited review and adjudication solutions that expand your capacity.
Whether Traditional BPOs, consulting groups, tech companies, or government services providers, FHAS strengthens operational delivery, reduces compliance risk, and ensures government processes run cost-effectively and deliver best in class outcomes.
Measurable Results for Our Partners
- Reduced Appeal Overturn Rates
- through comprehensive initial reviews
- Faster Resolution Times
- with streamlined processes and expert case management
- Enhanced Compliance
- with federal and state regulatory requirements
- Cost Savings
- through efficient, tech-enabled review processes and administrative support
What Sets Us Apart
Certifications & Accreditations
Our dual URAC accreditations in IRO and HUM and state licenses ensure the highest standards in quality and compliance.
Technology-Forward
AI/augmented-enabled processes for speed and scalability with advanced analytics, workflow automation, and secure, cloud-based solutions.
Value-Based Fee Structure
A simple, fixed-price model means no surprises—just consistent value and built-in incentives for us to optimize performance.
Review Panel
Our experienced team of physicians, nurses, coders, and legal experts delivers medically sound reviews grounded in clinical evidence and regulatory compliance.
News & Updates
Subscribe to the FHAS Insider
For the latest in medical review and IDR News
