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Announcements

For users who require assistance in submitting a prior authorization request, or to check status of a prior authorization request , Kepro Customer Service can be reached via telephone at 866-495-8388. Fax submissions can also be submitted to 866-889-6516.


Keystone Peer Review Organization, Inc. (Kepro), an industry leader in providing innovative, value-added healthcare management solutions, has been awarded the "Medical Management and Services" contract through Hillsborough County Health Care Services. The Hillsborough County (HCHCP) contract ensures appropriate, quality-driven care through quality improvement of specified inpatient hospital, medical and surgical services.

Recognized as the largest federally designated Quality Improvement Organization (QIO) in the nation, Kepro's reputation is a result of providing many years of innovative healthcare management solutions to multiple state Medicaid and Medicare programs, the Department of Defense's (DoD) national TRICARE program, and 5 of the nation's largest insurance providers.

The Internet-based system uses InterQual criteria to safeguard against unnecessary or inappropriate use of Medicaid services and provides clients with an enhanced security system to perform accurate, confidential medical record review through a remote-user, virtual private network.

 


Kepro is URAC accredited in Health Utilization Management and Case Management. We are also licensed to perform medical reviews in 29 states.