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  • 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.

Definitions

Not all inclusive. Please refer to Chapter 10 for further definitions.

  • Independent Review Organization: means an entity that conducts independent external reviews of final adverse benefit determinations.
  • Additional definitions that pertain to IRO’s can be found in Chapter 59.

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