IRO Solutions

What IRO Solutions does

IRO Solutions is a privately held software company founded in 2014 by Larry Meadlin and Glenn Rathke, headquartered in Arlington, Texas. It builds and sells Teamworks IRO, a case management software platform designed specifically for Independent Review Organizations (IROs), Utilization Review (URA) and Peer Review companies, law firms, insurance companies, and attorneys. The founding team collaborated with leading Dallas-area IROs to develop the product, embedding domain-specific regulatory logic — particularly Texas Department of Insurance (TDI) compliance — into the workflow engine. The system automates case intake, task creation, deadline tracking, state-agency report generation, doctor credentialing, and inbound/outbound email and fax handling tied to individual cases.

Teamworks IRO is built on an ANSI SQL standard database and supports three deployment configurations: single-user local installation, small group network share, and enterprise SQL Server backend. Notable technical components include an "Information at a Glance" dashboard, over 100 pre-built reports with point-and-click generation, a secured Doctor Portal for remote medical review completion, monthly HHS database verification for IRO reviewer credentials, OIG LEIE exclusion list support, and a Medical Director exam tracking module that automatically calculates the 25% certified review requirement. The software is deployed on-premise with data stored on customer premises rather than in a cloud database, which the company positions as a security and compliance advantage.

IRO Solutions operates a sales-led, direct go-to-market model with no third-party resellers or marketplace distribution. Revenue is generated through three pricing models: a monthly flat-rate subscription, per-case usage-based pricing, and a hybrid combining both. The customer base is concentrated in the SMB and micro-business segment, with testimonial evidence including solo and part-time IRO operators. The company operates with a 1–10 person team, has no institutional funding, no subsidiaries, and references itself as a CPC entity. Geographic focus is Southwest United States with explicit Texas-specific compliance features.

Name

IRO Solutions

Legal name

IRO Solutions

Website

https://irosolutions.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

1–10 employees

Short description

IRO Solutions provides case management software called Teamworks IRO for Independent Review Organizations, utilization review, peer review companies, law firms, and insurance companies handling workers' compensation and insurance claim reviews.

Ownership category

akta.pro rank

Headquarters

HQ city

Arlington

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Subscription - Monthly Flat Rate: Monthly recurring subscription model providing access to Teamworks IRO software with included features.
2. Per Case Pricing: Usage-based pricing option where customers pay per case processed through the platform.
3. Combined Pricing Model: Hybrid pricing combining monthly flat rate with per case components.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

IRO Solutions develops and licenses Teamworks IRO, an on-premise case management software platform built for Independent Review Organizations (IROs), Utilization Review providers, Peer Review entities, Law Firms, and Insurance Companies. The platform combines automated case and task management with integrated email/fax communications, a doctor portal, physician credentialing tools, and a reporting library of more than 100 reports. It embeds compliance with Texas TDI regulations and state insurance department requirements, along with supporting features such as document generation, time tracking, calendaring, and remote access.

Product overview

IRO Solutions offers Teamworks IRO as a unified, single-platform case management software for Independent Review Organizations (IROs), Utilization Review, Peer Review, Law Firms, and Insurance Companies. The system integrates data capture, case and task management, over 100 reports, customizable workflows, credentialing tools, a doctor portal for medical reviews, and email/fax communication handling—all accessible through an 'Information at a Glance' dashboard. The software is designed to manage the complete lifecycle of IRO and Peer Review cases, from intake through final state submission, with features for compliance with TDI and state insurance department regulations.

Differentiator

Problem solved

Functional benefit

Brands

• Teamworks IRO: Software application for IRO, Utilization Review, Peer Review, Law Firms, and Insurance Companies
• Teamworks IRO

Products and services

• Teamworks IRO

Quantifiable outcome

• 15 to 20 times more productive
• +2 more outcomes

Named customers7 records

Segments6 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature11 records

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Pega: Pega provides a horizontal case management and CRM platform with healthcare-specific solutions. Competes for the same case management modernization budgets as IRO Solutions' vertical SaaS at healthcare payer/provider organizations.
• Appian: Appian is a broader case management and process automation platform that can be configured for healthcare case management use cases. Competes for the same IT budget at healthcare organizations though as a horizontal platform.
• InterQual (Optum): InterQual, part of Optum/Change Healthcare, provides clinical criteria and decision support for medical review and utilization management. Overlaps with IRO Solutions' customer base as an established incumbent.
• MCG Health: MCG Health (part of Hearst) provides evidence-based clinical decision support and care guidelines used in utilization management and medical review. Serves overlapping IRO/UM customer workflows but as part of a broader clinical content portfolio.
• eviCore (Carelon): eviCore, part of Carelon Services (Elevance Health), provides utilization management and medical review services. Operates in the same IRO/UM space that IRO Solutions' customers serve, though primarily as a services provider rather than software vendor.

Direct peers

• Casenet: Casenet provides care management software for health plans and care delivery organizations. Competes with IRO Solutions in the care/case management software market for payer-facing workflows including utilization and case review.
• VirtualHealth: VirtualHealth offers HELO, a care management platform serving health plans, managed care organizations, and government programs. Direct competitor in vertical care/case management SaaS for healthcare entities.
• ZeOmega: ZeOmega's Jiva platform is a care management solution serving health plans, payers, and utilization management organizations. Comparable vertical case management software competing for similar healthcare customer segments.
• MedHOK (Health Catalyst): MedHOK, acquired by Health Catalyst, provides care management and quality performance software for health plans and providers. Comparable vertical case management solution serving regulated healthcare entities in UM and review workflows.
• TCS Healthcare Technologies: TCS Healthcare Technologies provides the ACUTE Care Management software platform used by managed care organizations, utilization review firms, and similar entities. Direct competitor to IRO Solutions in vertical case management software for the IRO/UM/peer review space.

Market position

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Facebookfacebook.com/sharer.php?u=https%3A%2F%2Fwww.irosolutions.com%2F

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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 IRO Solutions