Experience the CPHCR Difference
Christopher Place Healthcare Review (CPHCR) delivers trusted, independent utilization management (UM) and external review solutions for health plans, payers, MCOs/CCOs, TPAs, and benefit administrators nationwide.
Our expert clinical review teams provide evidence-based medical necessity determinations, specialty-matched physician reviews, pharmacy evaluations, and compliant IRO appeal services designed to reduce unnecessary healthcare costs, improve turnaround times, and strengthen regulatory compliance. Every review is backed by nationally recognized clinical guidelines, FDA standards, plan-specific policies, and current standards of care—giving organizations defensible, audit-ready decisions they can rely on.
From large national carriers to regional and specialty health plans, CPHCR helps clients streamline operations, improve outcomes, and build trust through transparent, unbiased healthcare review services.
Independent Review Organization Services
As an independent Independent Review Organization (IRO), CPHCR provides medical necessity determinations for both internal and external appeals in full compliance with applicable state and federal requirements.
Every case is reviewed independently—free from payer or provider influence—and evaluated carefully and thoroughly before a final decision is made.
Utilization Management & Medical Necessity Review
CPHCR supports prospective, concurrent, and retrospective utilization management across medical, behavioral health, and pharmacy services.
Our clinical reviewers all have extensive clinical and relevant experience that help reduce unnecessary costs while maintaining clinically appropriate care.
Behavioral Health & Pharmacy Expertise
We maintain national coverage across behavioral health, substance use disorder, and pharmacy review services—ensuring specialty-matched expertise and defensible outcomes.
