Our Services

About KePRO

Clinically Driven. Client Focused. Value Based.

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KePRO designs and delivers effective solutions encompassing the unique needs of your population while achieving your strategic, financial, and health care goals. Our comprehensive care management solutions focus on improving health outcomes while reducing health care administrative costs for commercial and public clients.

KePRO is a CMS-certified quality improvement like entity, and is licensed to perform medical review in 29 states. We are also URAC accredited in both utilization health management and case management.

Client Solutions

Our comprehensive portfolio of client solutions includes:

Integrated Care Management

Appeal and Review Services

Offices

Our seven offices – Harrisburg, Tampa, Louisville, Baltimore, Cleveland, Nashville, and Richmond – are home to over 300 clinicians and other dedicated professionals. We also offer access to a physician review panel of over 3,200, including representation for all major subspecialties.

Clients

Since 1985, KePRO has provided solutions for over 17 million members, including:

  • Many of the nation’s largest third party administrators, insurance companies, Blues plans, hospital systems, and health plans.
  • Medicare (CMS), numerous state Medicaid agencies, county governments, federal agencies, and TRICARE.

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