Peer & Independent Reviews that Build Clarity and Trust
Commence delivers review solutions designed to ignite a new era of care and built to prioritize fairness, reduce bias, and restore clinical integrity.
Independent Medical & Peer Reviews
When decisions are unclear, we bring fairness to the forefront—offering expert, unbiased reviews that restore confidence in care, resolve disputes, and strengthen trust in every outcome.
Our reviews add fairness and transparency by:
- Leveraging a network of 500+ multidisciplinary clinicians for specialty-aligned review
- Maintaining URAC-certified review standards that ensure independent decision-making
- Conducting second-level reviews to resolve escalated determinations
- Enhancing confidence among payers, providers, and patients
Claims &
Utilization Reviews
We help agencies spot overuse, prevent waste, and protect funding—ensuring resources go where they matter most and keeping patients needs at the center.
We protect funding integrity by:
- Conducting over 600,000 clinical reviews each year to validate services
- Tracking claim utilization to flag excess and ensure compliance with care standards
- Supporting transparent audit support for payers and providers
- Minimizing unnecessary spending and aligning services to clinical need
Compliance & Quality Assurance Audits
Commence helps close the loop on documentation—making sure what’s recorded reflects what matters: accuracy, equity, and consistency.
We raise audit performance with:
- Program-level support across CMS, TRICARE, and VA quality requirements
- Detection of inconsistencies in coding, documentation, coding, and workflow
- Actionable feedback and education for providers to correct issues at the root
- Tools that help agencies prepare for inspections, ratings, and certification
A New Standard in Peer & Independent Review
When care hangs in the balance, Commence combines expert insight, smart automation, and a quality improvement system to deliver faster, fairer reviews—supporting better care and more accountable systems.
Veteran Healthcare That Delivers Faster
Commence redefined record retrieval for the Veterans Benefits Administration—digitizing 820M+ records, cutting turnaround time by 70%, and saving $40M+ in processing costs. Our human-centered, data-powered approach accelerated access to benefits and care for veterans across the country.
Stats
825M+
$40M+
16,000+
Scaling TRICARE with Speed & Precision
With 750K+ transactions processed monthly and a 300% productivity lift, Commence helped transform TRICARE’s $65B claims operation into a faster, more resilient system. Driven by clinical oversight and automation, we delivered scalable solutions aligned with DHA’s mission to improve medical readiness and patient experience.
Stats
300%
16,000+
750K+
Detecting Fraud Earlier, with Greater Accuracy
Commence increased fraud detection by 45% and reduced false positives by 30% through AI-driven alerts and clinical review integration.
Stats
45%
30%
Oversight across
