IPRO has nearly 40 years of experience as a federal and state contractor providing a range of services related to the evaluation and remediation of healthcare quality. IPRO is an External Quality Review Organization (EQRO) in 11 states and Puerto Rico and an Independent Review Organization (IRO) with contracts in 15 states and the District of Columbia. IPRO has served as an IDR for multiple states, including New York, since 2016.
With its corporate headquarters in Lake Success, New York, and offices in Albany, New York; Hamden, Connecticut; Morrisville, North Carolina; and Beachwood, Ohio, IPRO employs more than 350 healthcare professionals including:
IPRO also retains a network of more than 300 board-certified physician consultants.
You can reach us via email at idr@ipro.org.
Once the process begins, IPRO will contact both the facility or provider and the health plan to request specific documentation related to the services provided, fees charged, amount of reimbursement, etc.
For specific questions regarding IPRO IDR or to inquire about a dispute, please contact idr@ipro.org.
To learn more about the No Surprises rules, visit the Centers for Medicaid & Medicare website.
Across nearly 100 state and federal programs in 32 states, IPRO makes creative use of clinical expertise, emerging technology, and data solutions to make the healthcare system work better.
HEADQUARTERS:
1979 Marcus Avenue
Lake Success, NY 11042-1072
Phone: 516-326-7767
Toll Free: 800-852-3685
Fax: 516-328-2310
TTY: 800-662-1220 or 711