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 INC
C2C INNOVATIVE SOLUTIONS, INC
CLAIMS EVAL, INC
EDIPHY ADVISORS, LLC
FEDERAL HEARINGS AND APPEALS SERVICES, INC
INDEPENDENT MEDICAL EXPERT CONSULTING SERVICES INC DBA:
MAXIMUS FEDERAL SERVICES, INC
MCMC SERVICES LLC
MITCHELL INTERNATIONAL INC DBA:
NATIONAL MEDICAL REVIEWS, INC
NETWORK MEDICAL REVIEW COMPANY LTD
PHYSICIANS REVIEW ORGANIZATION, INC
PROPEER RESOURCES LLC
ROFFE ENTERPRISES, INC DBA: