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 rules for the External Review Act.
Bulletin 09-08 – Idaho Health Carrier External Review Act was posted on August 20, 2009.

Independent Review Organization Licensing

In order to act as an independent review organization under the new law, the organization must be accredited by URAC, a nationally recognized private accrediting entity, and approved by the 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, Fl 3
PO Box 83720
Boise, ID 83720-0043

Questions regarding licensing issues, contact 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 208-334-4319.

Questions regarding annual filing, contact Arlene Barrie or call 208-334-4216.

Renewal of registration for IROs

This 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 you have not renewed prior to the expiration date, this license must be reinstated at double the renewal fee ($600) for up to 1 year. Please click here for the reinstatement form.

External Review Reporting Requirements

Please click here for filing form to be used for the annual report due by March 1st for external review(s) performed during the prior calendar year.

Forms for use by IRO:

FAQs for External Review