Independent Review Organization Registration
The Idaho Health Carrier External Review Act requires Independent Review Organizations (IROs) to register with the Department of Insurance in order to be approved to conduct external reviews.
Information regarding this act is available as follows:
- Idaho Code, Title 41, Chapter 59 - Idaho Health Carrier External Review Act
- IDAPA 18.01.05 - Health Carrier External Review, Idaho ules for the External Review Act.
- Bulletin 09-08 - Idaho Health Carrier External Review Act, dated August 20, 2009
- Bulletin 11-04 - Idaho Health Carrier External Review Act Amendments, dated June 13, 2011
Independent Review Organization Licensing
In order to act as an IRO, the organization must be accredited by URAC, a nationally recognized private accrediting entity, and approved by the Idaho Department of Insurance. In order to become approved, the organization must submit an application to the Department. Notice of the application will be published on the Department's website for a period of 42 days to provide an opportunity for public comment.
Application for Independent Review Organization
Mail to:
Idaho Department of Insurance
700 W State Street, 3rd Floor
PO Box 83720
Boise, ID 83720-0043
Questions regarding licensing issues, contact the Producer Licensing Section or call 208-334-4250 and ask for Producer Licensing.
Questions regarding the external review process, contact the Consumer Affairs Section or call 208-334-4250 and ask for Consumer Affairs..
Currently Licensed IROs
Here is the list of IROs currently registered with our Department.
Renewal of IRO Registration
IRO registration renews every two years from date of issue for a fee of $300. Please click here to renew by paper. At a later date renewing online will be available.
If the IRO does not renew prior to the expiration date, this license must be reinstated at double the renewal fee ($600) for up to one year. Please click here for the reinstatement form.
Forms for Use by IROs:
Idaho External Review Requirements for Independent Review Organizations
