I haven’t worked with this company but these are standard rates. It’s not usually hourly though it’s per case which could do take more or less time. These are independent review companies so you aren’t working for the insurance company this is where the insurance company has already denied at least once if not more and it goes to external review. You still have to follow the plans guidelines but it’s basically doing medical necessity reviews for inpatient, iOp/php, residential, wilderness medicine, TMS and occasionally PAs for meds. You have to cite the literature or recognized guideline in your opinion. There are many such companies some focus on Medicaid plans some more commercial. It is good experience if you want to do UM for insurance companies, understand more about how these work etc