Medlogix
Medical claims management companies are not all the same. EXPECT EXCEPTIONAL.
Overview
Medlogix is a premier medical claims management company founded in 1980 and headquartered in Hamilton, New Jersey. Combining proprietary technology platforms with deep clinical expertise, Medlogix delivers a comprehensive suite of managed care and medical cost containment services to auto insurance carriers, workers compensation administrators, and group health insurers across the United States.
The company operates one of the largest proprietary PPO networks in the northeastern United States through its CHN PPO product, and holds HIPAA certification for its data infrastructure. Medlogix distinguishes itself by integrating clinical oversight -- including medical director review and independent medical exams -- with modern digital claims workflows, offering clients both network access and end-to-end managed care services under one roof.
In July 2024, Medlogix was acquired by ReviewWorks, a Michigan-based holding company, consolidating multiple medical claims management platforms -- including CHN PPO, Integrity Medicolegal Enterprises, and Michigan Evaluation Group (MEG) -- under unified ownership. In 2025, Alan Horton joined the leadership team as Chief Information Officer, signaling continued investment in technology capabilities.
Products & Services
MyMedlogix
Proprietary web-based client portal and claims management platform for accessing claims data, managing workflows, and tracking claim status in real time.
Key Features
- Online claims submission and status tracking
- Medical bill review and repricing workflow
- Pre-certification and utilization management tools
- Secure HIPAA-compliant data access
Target Users: Auto insurance carriers, workers compensation administrators, group health insurers
CHN PPO
Proprietary Preferred Provider Organization (PPO) network serving the northeastern United States, providing insurers and TPAs with access to a broad panel of credentialed providers and negotiated fee schedules.
Key Features
- One of the largest proprietary PPO networks in the northeastern US
- Provider credentialing and network management
- Negotiated fee schedules for cost containment
- Network access for WC, auto medical, and group health claims
Target Users: Carriers, TPAs, workers compensation administrators
MedlogixU
E-learning and training platform designed for claims professionals and client staff, providing education on managed care, medical bill review, and cost containment practices.
Key Features
- Online courses and continuing education modules
- Training for claims adjusters and managed care staff
- Client onboarding and certification resources
Target Users: Claims professionals, client training departments
eBilling and Clearinghouse Solutions
Electronic medical billing and EDI clearinghouse services enabling streamlined provider billing and claims submission.
Key Features
- Electronic data interchange (EDI) for medical billing
- Clearinghouse connectivity to payers and providers
- eBilling automation to reduce manual processing
Target Users: Providers, carriers, TPAs
Independent Medical Exam (IME) Referral Services
Coordination and management of independent medical examinations for claims assessment, dispute resolution, and return-to-work determinations.
Key Features
- National IME network coordination
- Scheduling and referral management
- Report delivery and quality review
Target Users: Workers compensation administrators, auto carriers
Michigan Evaluation Group (MEG)
Subsidiary providing medical evaluation and cost containment services specifically in Michigan, supporting auto no-fault and workers compensation claims.
Target Users: Michigan auto carriers, workers compensation administrators
Integrity Medicolegal Enterprises
Subsidiary offering medicolegal services and claims management support, including medical record review and causation analysis for litigated and complex claims.
Target Users: Carriers, defense counsel, TPAs
ReviewWorks Services
Following the 2024 acquisition, Medlogix now delivers disability management and medical cost containment solutions from the ReviewWorks platform, expanding its capabilities in functional capacity evaluations and disability case management.
Target Users: Workers compensation administrators, group health insurers
At a Glance
- Founded
- 1980
- Headquarters
- Hamilton, New Jersey, USA
- Employees
- 201-500
- Funding
- Acquired
Category & Focus
- Category
- Claims Technology
- Subcategories
- Medical Claims Management Medical Bill Review Managed Care PPO Networks IME Services
- Insurance Verticals
- Workers Compensation P&C Personal Health
- Target Customers
- Carriers, TPAs
Customers
- Leading auto insurance carriers (specific names not publicly disclosed)
- Workers compensation administrators and TPAs across the northeastern US
- Group health insurers
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Last updated: 2026-06-03