Dane Street

What Dane Street does

Dane Street is a U.S. national provider of Independent Medical Examinations (IMEs) and Peer Review services, founded in 2008 and headquartered in Palm Beach Gardens, Florida, with regional operation centers across the Northeast, Mid-Atlantic, Southeast, Midwest, Southwest, and West. The company serves more than 300 clients including Tier 1 insurance carriers, third-party administrators, health plans, PBMs, Fortune 500 employers, law firms, and federal and state government agencies (including the Veterans Benefits Administration and the U.S. Department of Health and Human Services for Federal IDR disputes under the No Surprises Act). Service lines span Workers' Compensation, Auto/Liability, Disability, Group Health, and Federal/State medical review, with deep specialization in Utilization Management (Prior Authorization, Appeals, External Reviews) and legal review services such as expert witness reports and deposition coordination.

The company delivers services through a national panel of 20,000+ board-certified physicians covering 100+ medical specialties and 30,000+ locations across all 50 states. Underpinning operations is AccessDS, a proprietary rules-based technology platform that automates case intake, document upload and storage, state-specific medical treatment guideline tracking, and physician matching; AccessDS supports a 100% quality-assurance review on every referral and integrates with sales-led, enterprise field-sales distribution to claims leaders at carrier and TPA accounts. The company earns revenue primarily on a transaction-fee basis per examination or per peer review, with managed-services contracts for utilization management and multi-year enterprise agreements with Tier 1 carriers and health plans.

Dane Street holds an unusually dense set of healthcare accreditations: URAC in Workers' Comp Utilization Management, Health Utilization Management, and Independent Review Organization; NCQA Utilization Management; HITRUST r2; and the HITRUST AI Assurance Program. The company received a private equity investment from Quad-C Management in March 2026 to fund continued organic growth and strategic acquisitions under CEO Greg Powers, with founder Will Fulton joining the board as a significant shareholder.

Name

Dane Street

Legal name

Dane Street, LLC

Website

https://site.danestreet.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

101–250 employees

Short description

Dane Street is a national provider of Independent Medical Examinations and Peer Review services for insurance carriers, TPAs, health plans, Fortune 500 employers, law firms, and government agencies. Founded in 2008, it operates the AccessDS platform connecting 20,000+ physicians across 100+ specialties in all 50 states.

Ownership category

akta.pro rank

Product category

Medical Review Services

NAICS

Offices of All Other Miscellaneous Health Practitioners (621399)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Provider Network, Credentialing & Contracting Support (BPAAAFAI)

Keywords

• Independent medical examinations
• Medical peer review services
• Workers compensation reviews
• Utilization management services
• Medical claim reviews

Headquarters

HQ city

Boston

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Independent Medical Examinations (IMEs): Fee-for-service model for providing independent medical examinations across Workers' Compensation, Auto, Disability, and Group Health insurance markets. Physicians conduct examinations and deliver objective medical reports.
2. Peer Review Services: Medical peer review services where physicians review cases and provide independent medical opinions. Revenue generated per review or examination completed.
3. Utilization Management Services: Prior Authorization Initial Reviews and Appeal Reviews for health plans, PBMs, and government entities including Medicaid, Medicare, ACA Exchanges, and Duals programs.
4. Federal IDR Services: Independent Dispute Resolution Entity services for the Federal IDR process under the No Surprises Act. Certified through U.S. Department of Health and Human Services, Department of Labor, and Department of the Treasury.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

Dane Street provides objective, compliant, and timely Independent Medical Examinations (IMEs) and Peer Review services through a national panel of over 20,000 board-certified physicians covering 100+ medical specialties, 30,000+ locations, and all 50 states. The company serves insurance carriers, third-party administrators, health plans, Fortune 500 employers, law firms, and federal/state government agencies across Workers' Compensation, Auto/Liability, Disability, Group Health, and Government service lines. Its AccessDS rules-based platform manages case referrals, physician matching, state-specific medical guideline tracking, and document workflows.

Product overview

Dane Street is a national provider of Independent Medical Examination and Peer Review services for the insurance and healthcare markets. The company operates a platform-centric model centered on its AccessDS technology platform, which delivers services across multiple lines of business including Workers' Compensation, Auto/Liability, Disability, Group Health, and Federal/Government services. The core product portfolio consists of Independent Medical Examinations (IMEs) and Peer Reviews, supplemented by specialized service modules including Legal Review Services, State Services, and Federal Services (including Independent Dispute Resolution Entity for No Surprises Act disputes). Dane Street's national panel of over 20,000 board-certified physicians provides coverage across all 50 states in over 100 medical specialties, serving more than 300 clients including Tier 1 Insurance Carriers, Third Party Administrators, Health Plans, Fortune 500 Employers, and Law Firms.

Differentiator

Problem solved

Functional benefit

Products and services

• Independent Medical Examinations (IMEs) Objective, compliant, and timely Independent Medical Examinations delivered by a national panel of over 20,000 physicians across all 50 states and 100+ medical specialties for insurance carriers, TPAs, employers, law firms, and government agencies.
• Peer Reviews Medical peer review services providing expert clinical assessments and determinations for insurance and healthcare claims across Workers' Compensation, Auto, Disability, and Group Health markets.
• Workers' Compensation Services Workers' Compensation IMEs, Physician Advisor Reviews, Peer Reviews, and Pharmacy Reviews for Tier 1-4 carriers, Managed Care Organizations, Third-Party Administrators, Utilization Review Organizations, and Employers.
• Auto / Liability Services IMEs, Expert Witness Reports, Peer Reviews, Medical Billing & Coding Reviews, and Deposition and Trial Coordination for law firms, TPAs, and automobile insurance carriers requiring medical opinions on treatment necessity and cost.
• Disability Services Disability medical reviews, peer reviews, and IMEs for disability claims, short-term and long-term disability, and workers' compensation disability determinations for insurance carriers, employers, and government programs.
• Group Health and PBM Services Prior Authorization Initial Reviews, Appeal Reviews, External Reviews, and pharmacy/nurse reviews for health plans, PBMs, TPAs, self-administered employee benefits groups, and utilization management organizations across Commercial, Pharmacy, Medicaid, Medicare, Duals, and Marketplace.
• Legal Review Services Comprehensive legal review services including Texas 18.001 Counter Affidavit Services, Expert Witness Reports, Medical Billing & Coding Reviews, and Deposition and Trial Coordination Services for law firms and carriers.
• State Services State-level clinical review services including Health & Human Service Reviews for Medicaid, State External Reviews for insurance appeals, and State No Fault UR Appeals for auto accident cases.
• Federal Services Government healthcare services including Independent Dispute Resolution Entity (IDRE) for Federal IDR process, Disability Medical Evaluations for Veterans, Government Medicaid Utilization Management, OWCP, LHWCA, and Second Medical Opinion services.
• Independent Dispute Resolution Entity (IDRE) Certified IDRE through U.S. Department of Health and Human Services, Labor, and Treasury authorized to administer the Federal IDR process for out-of-network provider disputes under the No Surprises Act.

Quantifiable outcome

• Quality assurance review on 100% of referrals
• +4 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature3 records

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• ExamWorks Group: ExamWorks is one of the largest national providers of IME and peer review services to insurance carriers, law firms, and TPAs, with a similar multi-specialty physician panel model — the closest direct competitor to Dane Street.
• MES Solutions: MES Solutions provides Independent Medical Examinations, peer reviews, and medical record reviews to the Workers' Compensation, automotive, liability, and disability markets, competing head-to-head with Dane Street for carrier and TPA referrals.
• MCMC LLC: MCMC is a national IME, peer review, and independent review organization serving insurance carriers, government agencies, and law firms — directly comparable in service mix and customer base to Dane Street.
• Genex Services: Genex provides IME, peer review, utilization management, and case management services primarily in the Workers' Compensation and disability markets, overlapping substantially with Dane Street's core service lines.
• EK Health Services: EK Health delivers utilization management, peer review, and bill review services to Workers' Compensation payers and employers, competing directly with Dane Street's Workers' Comp and Group Health offerings.
• Managed Medical Review Organization (MMRO): MMRO provides independent medical reviews and utilization management services for Workers' Compensation, group health, and disability markets — a niche direct peer to Dane Street serving many of the same carrier and TPA customers.

Broad incumbents

• Concentra (Select Medical): Concentra operates a national network of occupational health clinics and provides IME, drug testing, and Workers' Comp services — overlapping with Dane Street's IME/peer review business as part of a much larger, broader occupational medicine platform.
• eviCore Healthcare (Evernorth): eviCore is a large-scale utilization management and prior authorization company serving health plans and providers, with overlapping capabilities to Dane Street's Group Health utilization review and Federal IDR businesses.
• Optum (UnitedHealth Group): Optum operates one of the largest healthcare services platforms including utilization management, risk adjustment, and clinical review — a broader incumbent whose in-sourced review capabilities compete with independent review organizations like Dane Street.
• Coventry Workers' Comp Services (Aetna/CVS): Coventry is a major national provider of Workers' Compensation managed care services including utilization review and case management, competing with Dane Street as part of a larger payer-affiliated platform.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/DaneStreetLLC
• Xx.com/danestreet

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Dane Street