How the directory is built, and our conflict of interest
Short version: we found the firms through live Google results for 9 buyer searches, read each firm's own pages on 2026-11-12, and recorded only what those pages say. No firm paid to be listed. Medrecords AI publishes the site and makes software, not a review service, so it isn't in the directory; the rules for that conflict are below.
Limits: Firm facts come from each firm's own website, read 2026-11-12; we haven't hired these firms or graded their reports, and "not stated" means we didn't find it, not that the firm doesn't do it.
How firms were found
On 2026-11-12 we pulled the live Google top 10 for 9 searches a buyer would use: the exact phrase "best medical record review companies," plus medical record review companies, physician peer review companies, external peer review organizations for hospitals, physician medical record review company, nurse medical record review company, external peer review for FPPE and OPPE, URAC-accredited IROs, and record summary services for IME physicians. We added firms those pages named. We kept every firm that sells human record review to hospitals, payers or physicians, and left out software-only products, retrieval-only and scanning firms, coding audit services and individual expert witnesses.
What we recorded for each firm
| Field | Rule |
|---|---|
| Segment | Hospital peer review, UR and IRO, or physician case prep, by where the firm's pages put the weight. |
| Reviewers | The people the firm says do the work, including AI if the firm says so. |
| Specialty scope | The firm's count or list, in its own units. |
| Credentials | 5 checks: board certification, active practice, specialty match, state license match, conflict check. "Stated" only if we could quote it. |
| Turnaround | A number only if published; otherwise the firm's own words, or "Not stated." |
| Coverage and accreditation | As the firm states it. We didn't confirm accreditation with the accrediting body. |
| Source and date | The pages we read and the capture date, on every row. |
Pages were fetched with a web extraction service; where it failed, we fetched the page directly. The raw text of each page is kept with the research files for this site.
What we didn't do
- We didn't hire any firm, request quotes, or grade reports.
- We didn't ask firms to fill in a survey. Everything comes from public pages, so a firm that publishes more scores more on paper.
- We didn't rank firms. They do different jobs for different buyers; picks are by job, with the catch stated.
Our conflict of interest, and the rules we follow
Medrecords AI publishes this site. It sells AI record review software that hospitals and physicians can use instead of, or next to, some of the firms listed here, especially prep firms. That is a conflict. These are the rules we hold ourselves to:
- A disclosure appears at the top and bottom of every page.
- Medrecords AI is labeled as ours wherever it appears, and is not a row in the firm directory.
- Links to medrecords.ai appear only on the Medrecords AI page and in boxes marked as our pick for a specific job.
- Each of those boxes says when a firm is the better choice.
- We don't state anything about a firm that its own pages don't support, and we don't describe firms' work negatively without a source.
- Firms can correct their own rows by emailing aj@medrecords.ai; confirmed fixes go live within 2 business days.
How often it's checked
Every firm row is rechecked at least every 45 days. The "Updated" date on a page is the last time its facts were checked.
Questions about the method
Why isn't there an overall ranking?
A hospital peer review firm and an IRO solve different problems for different buyers, so 1 score would mislead. Picks are by job on the home page.
Why do firms that publish more look better?
Because we only record what is public. A firm with strong practices and a thin website will show "Not found." That's why the credential page tells you to ask every firm the same questions.
Did any firm pay to be listed?
No. There are no paid placements or affiliate links on this site.