The mission of PRIUM is to provide objective peer-to-peer evidence-based clinical consulting and medication management (PBM) services relative to the medical necessity and appropriateness of care for the injured party, meeting all regulatory and industry requirements.

History

Since 1987 PRIUM has been performing peer review services for Utilization Review (UR) and Utilization Management (UM) for all insurance markets. PRIUM is Utilization Review Accreditation Commission (URAC) accredited for  Workers' Compensation, Auto, General Liability and Personal Injury Protection insurers.  PRIUM is also the first Utilization Management Company to offer Workers' Compensation Medication Management focusing on evidence-based clinical necessity, drug price, and utilization control.

Technology

PRIUM's years of experience and dedication to the needs of our customers has given us the knowledge to create proprietary and state of the art technologies for our Utilization Management and Pharmaceutical Benefit Management services.

eCase™:  PRIUM's proprietary HIPPA compliant web-based submission, and tracking system, eCase, supports online referrals, and retrieval of Peer Review documents and data. eCase is an unsurpassed tool of efficiency for claims management personnel and a cost savings tool for our TPA, Self-Insured, and Insurance Company clients.  eCase leads the market and gives us a technological advantage resulting in quality and 99.9% on time delivery of our UM/UR reports and reviews.