Medical Director Services & Behavioral Health Consultation Forums
Structured access to behavioral health medical expertise through regular virtual consultation forums and on-demand clinical advisory services. This is a managed relationship, not a transactional referral.
Who It’s For
Insurance carriers, TPAs, managed care organizations, and employers seeking ongoing clinical advisory support – not just one-off reviews.
What’s Included
- Virtual Claim Consult Forums: Regularly scheduled case-based discussions between CMRS behavioral health physicians and your claims team – proactive, not reactive.
- Real-time guidance: On complex or high-risk claims before errors compound.
- Medical Director consultation: Access to BH physicians and psychologists for program-level questions, coverage policy review, and case escalation.
- Oversight of other BH professionals: LCSWs, care managers, and nurse reviewers within your organization.
- Employer virtual support services: Ongoing virtual BH consultation for employers managing workplace behavioral health programs.
- Educational presentations: For claims examiners, adjusters, HR managers, and front-line supervisors.
Most IROs wait for you to refer a case. CMRS builds ongoing clinical partnership with your team – so your most complex claims get better from day one.