Apply | Physicians Review Organization

Initial Application

Peer Review Consultant

For information about how you can support the fair and impartial evaluation of physician services or if you're interested in becoming part of our reviewer panel, email us at padmin@physiciansreview.org or call 1-800-722-5392.

First Name

Last Name

Street Address 1

Street Address 2

City

State

Zip

Office Phone

Office Fax

Pager/Cell Phone

Primary Specialty

I am able to provide the following services to the Physicians Review Organization:

Utilization medical record reviews (standard reimbursement rate)

Quality & appropriateness medical record reviews (standard reimbursement rate)

Administrative hearings, depositions, testimony, conferences related to medical record reviews (standard reimbursement rate)

New medical ventures