National Medical Reviews · Authorized MRO
Pre-Authorization Request reviews — Level 1 & Level 2.
Authorized Medical Review Organization support through the New York State Workers' Compensation Board Medical Portal, with deadline-sensitive coordination and physician review aligned to the Medical Treatment Guidelines.

Overview
Authorized MRO for PAR Level 1 and Level 2.
Integral is a New York State Workers' Compensation Board-authorized Medical Review Organization (MRO), coordinating Pre-Authorization Request (PAR) Level 1 and Level 2 reviews through the Workers' Compensation Board Medical Portal.
PAR review programs are built around timeliness, defensibility, credentialed physician review, and the practical realities of claims-office workflow — with a focus on documentation that holds up if a determination is appealed.
What We Offer
Built for timeliness, credibility, and cost efficiency.
Deadline-sensitive handling
Review coordination structured around statutory deadlines, with clear status communication from intake through delivery.
Defensible Level 2 reviews
Level 2 reviews aligned to the Medical Treatment Guidelines, documented to withstand scrutiny on appeal.
Cost-efficient programs
PAR review programs structured to reduce rework, overturns, and downstream cost across the claim lifecycle.
Customized to your workflow
Level 1, Level 2, or combined PAR programs configured around your claims office, jurisdictions, and reporting needs.
Positioning
PAR review work is only valuable when the final product is timely, credible, and built to withstand scrutiny.
Integral works with clients to create customized PAR Review programs for Level 1 PARs, Level 2 PARs, or both — with a focus on accuracy, efficiency, and cost-effective workflow.
When a review is overturned at Level 3 or a deadline is missed, the investment in PAR review is wasted. Integral's process is designed to produce reviews that stand up to scrutiny and reach claims professionals on time.
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