Plaintiff or defense UR/med. necessity/doc. review

Contact this Expert Witness

  • Company: Andrew R. Heath, DC
  • Phone: (602) 242-4930
  • Cell: (602) 908-8177

Specialties & Experience of this Expert Witness

General Specialties:

Chiropractic and Acupuncturist

Keywords/Search Terms:

Personal Injury, Chiropractic IME, Medical Records Review, Utilization Review, Plaintiff or Defense

Education:

DC, Palmer College of Chiropractic; FIACA, International Academy of Clinical Acupuncture

Years in Practice:

41

Additional Information

1983 graduate of Palmer College of Chiropractic (Davenport), AZ Chiropractic License #3884 issued in 1984. 41 years in active solo practice (and currently) using chiropractic manipulation, physical medicine modalities and acupuncture. Former Medical Director of FCQA. 35 years as a Clinical Advisor for BCBSAZ doing chiropractic UR/UM, peer review and med. necessity determinations. Former member of BCBSAZ Medical Appeals and Professional Standards Committees. Vetted by URAC to make med. necessity/investigational determinations on chiropractic and non-chiropractic medical appeals. 30 years (and current) as a member of the BCBSAZ Credentialing/Clinical Quality Management Committees. Currently working for American Health Holdings, Inc. doing UR and preauthorization of PT/Chiropractic services. Currently doing IMEs for ISG, Inc.