List of Registered Independent Review Organizations
The following independent review organizations (IROs) have met the requirements under the Idaho Health Carrier External Review Act in Idaho Code Title 41, Chapter 59, and rule IDAPA 18.01.05. These IROs are accredited by URAC.
The Idaho Health Carrier External Review Act provides covered persons the right to have a health claim denial reviewed by an IRO if the denial is based on the health carrier’s requirements for medical necessity, appropriateness, health care setting, level of care, effectiveness, or is determined to be investigational. External review requests are coordinated through the Consumer Affairs Section in the Department of Insurance.
|ADVANCED MEDICAL REVIEWS|
|DYLL REVIEW (THE)|
|IMX MEDICAL MANAGEMENT SERVICES, INC|
|MASSACHUSETTS PEER REVIEW ORGANIZATION, INC|
|MAXIMUS FEDERAL SERVICES, INC|
|MEDICAL REVIEW INSTITUTE OF AMERICA, INC|
|NATIONAL MEDICAL REVIEWS, INC|
|P & S NETWORK, INC (THE)|
|PREST & ASSOCIATES, INC|
|ROFFE ENTERPRISES, INC DBA: HHC GROUP|