About CPHCR

Welcome to Christopher Place Healthcare (CPHCR), the premier Independent Review Organization (IRO) based in Harrisburg, Pennsylvania. We specialize in providing unbiased and timely independent medical reviews for benefit disputes and quality of care issues.

Operating in Pennsylvania, the fifth-largest insurance market in the United States in terms of premium volume and the 14th-largest insurance market globally, we understand the dynamic and challenging nature of the health insurance landscape.

Established in 2016 as a Veteran of Small Business Organization, CPHCR has grown to become a national leader in providing Independent External Review services. While our roots are in Pennsylvania's vibrant insurance market, we have expanded our reach and now serve clients across the United States.

Recognizing the vital need for impartial Independent External Review services mandated by the Federal Affordable Care Act, we have earned a reputation for excellence and reliability. Our experienced team comprehends the intricacies of insurance markets nationwide and is dedicated to delivering exceptional support to our clients.

Wherever you are located in the United States, CPHCR is here to assist you with your external review needs. With our deep understanding of Pennsylvania's dynamic and challenging insurance market, we are well-equipped to protect your rights and ensure a professional review process.

At CPHCR, we have assembled a remarkable team of Board-certified Physicians, Certified Coders, Bill Review Specialists, and Ancillary Healthcare Providers. Leveraging their extensive expertise in the healthcare market, we offer services on a nationwide scale, covering diverse geographic regions.

In response to the ongoing challenges of the coronavirus pandemic, CPHCR has embraced telehealth opportunities. This allows us to ensure uninterrupted, unbiased, and timely care for our clients' members, adapting to the changing landscape of healthcare delivery.

Our esteemed clientele includes ERISA Regulated Benefit Plans, Federally Regulated Agencies, Individual Insurance Companies, Medicaid, Medicare, Self-funded Health Plans, and State Insurance Departments.

Join the growing number of satisfied clients who have entrusted their healthcare review needs to CPHCR. Explore our website today to learn more about our comprehensive services and discover how we can assist your organization and its members in achieving optimal outcomes.

Experience the excellence of Christopher Place Healthcare Review, a fully accredited Independent Review Organization (IRO), providing both Internal and External Reviews. We are proud to have obtained Full Accreditation from URAC, an esteemed organization that sets rigorous standards for IROs.

URAC's accreditation process ensures that our organization is free from conflicts of interest. It establishes stringent qualifications for our physicians who conduct independent medical peer reviews. We prioritize addressing medical necessity and experimental treatment issues. Our commitment to efficient timelines for standard and expedited peer reviews, as well as appeals processes, sets us apart.

As a URAC-accredited IRO, CPHCR guarantees a fair and impartial medical peer review process that benefits patients and physicians alike. Health plans and individuals can trust that their appeals will receive a comprehensive review and an objective decision.

“By receiving URAC accreditation, Christopher Place Healthcare Review has demonstrated a commitment to quality health care,” said URAC President and CEO. “Quality health care is crucial to our nation’s welfare, and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body.” 

Discover the trusted expertise of Christopher Place Healthcare Review (CPHCR) for your external review needs. We hold Accreditations/Certifications with State Insurance Departments nationwide, allowing us to conduct utilization reviews (UR) in compliance with the NAIC Model Act. Our commitment is to regulate and provide accurate information about health coverage in each specific state.

CPHCR proactively adopts applicable state laws and regulations, ensuring seamless alignment with state requirements. We prioritize addressing concerns and resolving them effectively to meet the unique needs of each state.

If you don't find your state listed, don't worry. Give us a call at 877-305-0944, and our dedicated team will explore how we can assist you with your specific needs.

Join the many state insurance departments, health plans, and individuals who rely on our expertise for comprehensive third-party external reviews. Contact us now to learn more about our services and discover how CPHCR can support your review requirements effectively.

Christopher Place Healthcare Review (CPHCR) takes great pride in being an esteemed member of NAIRO, the National Association of Independent Review Organizations. As a member-driven non-profit association, NAIRO is dedicated to advancing the field of independent medical review.

While URAC has been at the forefront of developing evidence-based measures and accreditation programs for independent medical review since 1990, it remains independent from industry-interest groups due to its standards body charter.

By being part of NAIRO, CPHCR actively contributes to achieving several primary objectives:

1. Developing guidelines to address common industry challenges.
2. Promoting and upholding high standards for medical reviews.
3. Educating consumers about their rights to claims appeals.
4. Defining the evolving role of Independent Review Organizations (IROs) in the healthcare landscape.

Since its establishment, NAIRO has played a crucial role in providing valuable insights and support to policymakers at both federal and state levels. Through position papers and comprehensive issue analysis, NAIRO helps shape policies that have a significant impact on the industry.

Furthermore, NAIRO assists its member organizations, including CPHCR, in showcasing the value of URAC accreditation and the rigorous processes involved in independent medical review.

For those searching for information on NAIRO or the National Association of Independent Review Organizations, CPHCR welcomes you to explore our website to learn more about our commitment to excellence as a proud NAIRO member. Join us in shaping the future of independent medical review and ensuring fairness and quality in healthcare decision-making.

Christopher Place Healthcare Review (CPHCR) has recently completed an extensive penetration testing, reinforcing our commitment to maintaining the highest standards of cybersecurity and data protection for not only our clients but also the members our clients serve. Penetration testing, colloquially known as a pentest or ethical hacking, is a rigorous and authorized simulated cyberattack conducted on a computer system. Its primary purpose is to comprehensively evaluate the security of the system.

During this rigorous process, our organization underwent a thorough examination to identify vulnerabilities within our systems. The objective was to assess our readiness to safeguard against potential unauthorized access to our valuable system features and data. By conducting this penetration testing, we aimed to ensure that we remain resilient in the face of evolving cyber threats, protecting both our data and our clients' sensitive information.

As a result of our commitment to security and the successful completion of the penetration testing, CPHCR is now a certified "Pen Tested Service Organization." This certification reflects our unwavering dedication to maintaining a robust and secure environment for our clients and partners.

In our pursuit of excellence, CPHCR assembled a team of seasoned software architects with extensive experience in software and database development. This dedicated team possesses a wealth of knowledge, bolstered by a diverse range of Microsoft certifications. 

Through collaboration with certified professionals, we pledge to provide a resilient and streamlined Microsoft-based case management solution. This commitment extends to meeting the requirements of a user-friendly, easily accessible, and cost-effective system tailored specifically for independent review organizations.