FHAS, Inc. provides medical claims review, health utilization management, independent review and dispute resolution services to healthcare providers, payors and government programmes nationwide.
FHAS, Inc. (Federal Hearings & Appeals Services) is a national provider of medical claims review, dispute resolution, legal adjudication and business process outsourcing for healthcare providers, payors and government programmes. Founded in 1996, the company operates as a URAC-accredited Independent Review Organization (IRO) and Health Utilization Management company, and works with health agencies in more than 30 U.S. states and territories.
Its clinical work rests on a workforce of over 200 board-certified physician reviewers spanning all medical specialties. FHAS has adjudicated millions of medical claims reviews and reports a 100% on-time completion rate. Services cover 1st-, 2nd- and 3rd-level internal and external reviews, independent medical review, pre-claim adjudication, medical coverage decision-making, Independent Dispute Resolution (IDR), bill review audits, malpractice claims management, and provider outreach and education.
The company serves the commercial health insurance market, third-party administrators, pharmacy benefit managers, self-insured employers, federal government healthcare programmes, state health agencies, and the workers' compensation, disability, and hearings and appeals sectors. FHAS is active nationally across the United States, drawing on nearly 30 years of expertise in medical claims and utilisation review.
