Independent External Appeal Reviews, Resolved With Confidence

As a URAC-accredited reviewer with decades of experience, ESMSEF provides impartial, timely decisions that help payors, providers and patients resolve disputes with confidence.

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Smarter Utilization Review for Better Outcomes

From pre-admission to post-discharge, our registered nurse and physician reviewers deliver evidence-based guidance that improves quality of care and lowers costs.

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Accurate Coding and DRG Validation That Protects Revenue

Our experts audit complex coding and DRG assignments, ensuring compliance, accuracy and fair reimbursement for hospitals and payors.

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Where Experience Meets Integrity in Peer Review

With more than 40 years of experience and over 2 million case reviews completed, Empire State Medical, Scientific and Educational Foundation (ESMSEF) combines unmatched longevity with proven results. We are URAC‑accredited, nonprofit, physician‑driven, and trusted by both providers and payors to deliver independent, evidence‑based reviews. Our New York roots and national reach position us as a reliable partner who understands the stakes: protecting patients, ensuring fairness and helping our clients navigate today’s most complex regulatory and financial challenges with conflict-free review decisions from our panel of board-certified physician specialists.

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Who We Serve

Turn Complex Cases Into Clear Decisions

Peer review, utilization review and coding validation done right and on time.

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Accredited, experienced, physician-driven: ESMSEF delivers independent reviews for accuracy, fairness and compliance.

Certified for Quality. Trusted for Results.

ESMSEF has maintained full URAC accreditation as an Independent Review Organization since 2013, demonstrating our commitment to impartial, timely and clinically sound determinations. As an active member of NAIRO, we also contribute to shaping industry standards that protect the integrity of medical peer review and utilization review nationwide.