First Managed Care Option, Inc. (First MCO) is a full service Managed Care Organization providing medical cost containment services to insurance companies, third-party administrators, self-insureds and employers of all sizes. First MCO was founded in 1977 as consultants to the insurance industry. We were the 1st company to be licensed as a Managed Care Organization, in New Jersey in 1993. Our integrated programs and services deliver a seamless and powerful system that provides the clinical oversight necessary to promote superior healthcare, while minimizing costs. Our customers have been relying on our clinical expertise for nearly 50 years and our independent medical exams, peer reviews, and bill audits have been used by nearly every major insurance carrier. Our Preferred Provider Network continually produces the best results in NJ because we can supply competitive discounts based on years of partnership. The success of our network is not measured simply by our number of physicians, but also by the quality of care they deliver and their expertise. Our services include: 24/7 Loss Intake hotline, Utilization Management, Medical Bill Management, Pharmacy Benefit Management, Telephonic Case Management, Field Case Management, Appeal/Arbitration support, Auto Injury Management, Pre-Certifications, Medical Director Reviews, Independent Medical Examinations, and Decision Point Reviews. Bruce Nash, President http://www.firstmco.com/