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What is an external review?

When can I request an external review?

How do I request an external review from the Idaho Department of Insurance?

Can someone else request an external review for me?

What issues are eligible for external review?

What issues are not eligible for an external review?

What types of coverage qualify and do not qualify for external review?

How does the external review program work?

What if I need a faster review for an urgent care request?

What does an independent review organization look at to make a decision?

How much does an external review cost?

Is the independent review organization’s decision final?

Are medical records kept confidential in the external review process?

Health Insurance Terms and Phrases:

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