FHAS operates a compliance-heavy back-office for healthcare dispute resolution and utilization management, serving payers and government agencies. The tech stack (Microsoft 365, Azure, Jira, SQL) reflects enterprise operational infrastructure rather than product innovation; the concurrent CMS project load and audit readiness pipeline signal a regulatory-first business model. Hiring is sparse and balanced across healthcare, legal, and ops—indicating stable operations rather than scale mode.
FHAS is an independent review organization (IRO) and health utilization management (HUM) provider operating since 1996. The company handles dispute resolution, medical claims review, prior authorization, external review, and medical coverage determinations for healthcare payors, Medicare programs, and federal/state government agencies. Based in Wilkes-Barre, Pennsylvania, with 51–200 employees, FHAS operates as a URAC-accredited compliance and case-management business. Revenue derives from transaction volume and government contracts rather than licensed software; the organization manages multiple concurrent CMS projects while maintaining audit readiness and fraud-prevention initiatives.
FHAS provides independent dispute resolution, medical claims review, prior authorization, and utilization management services to healthcare payors, Medicare programs, and government agencies. The company is a URAC-accredited Independent Review Organization.
FHAS is headquartered in Wilkes-Barre, Pennsylvania and operates as a privately held company founded in 1996.
FHAS uses Microsoft 365, Azure, Jira, SharePoint, SQL, AWS, and Cisco Meraki for operations, case management, and infrastructure.
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