Federal Hearings And Appeals

Federal Hearings And Appeals

FHAS is a trusted leader in dispute resolution, medical claims review, utilization management, and legal adjudication.

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Industry
Hospitals and Health Care
Company size
86 people
Headquarters
Wilkes-Barre, Pennsylvania +3 more
Founded
1996
Type
Privately Held

Federal Hearings and Appeals Services, LLC (FHAS), a URAC-accredited Independent Review Organization (IRO) and Health Utilization Management (HUM) provider, is a trusted national leader in dispute resolution, medical claims review, legal adjudication, and business process outsourcing. As the industry’s premier Independent Dispute Resolution Entity (IDRE) and a leading Medicare and claims review partner, FHAS leverages nearly 30 years of expertise to deliver fair, accurate, and timely solutions for healthcare providers, payors, federal and state government agencies, and their subsidized programs. Our services deliver clinical precision, regulatory expertise, and personalized solutions to enhance healthcare delivery and resource efficiency. Committed to our clients’ success, FHAS empowers partners with equitable, high-value solutions that strengthen the healthcare ecosystem nationwide. FHAS holds multiple nationally recognized quality accreditations, including NCQA Utilization Management Accreditation, URAC Independent Review Organization (IRO) Accreditation, URAC Health Utilization Management (HUM) Accreditation, and the URAC Independent Dispute Resolution Entity (IDRE) Designation. These independent validations reflect FHAS's commitment to clinical quality, operational excellence, regulatory compliance, and impartial decision-making.

Independent Dispute Resolution (IDR) Independent Review Organization (IRO) Health Utilization Management Complex Medical Claims and Appeals Peer Reviews Prior Authorization External Review Medical Coverage Determinations Legal Adjudication Government Administration Services Medical Necessity Reviews Pharmacy Benefit Reviews

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