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Independent Review Organization (IRO)

IPRO Achieves Review Accreditation

IPRO has again achieved full accreditation as an external Independent Review Organization (IRO) by the Washington DC-based Utilization Review Accreditation Commission (URAC). IROs provide objective clinical reviews of coverage disputes between patients and insurers on behalf of state governments as well as self-insured plans and health plan administrators.

IPRO currently performs these independent review services on behalf of 20 states and multiple self-insured plans and health plan administrators. Among the standards that URAC-accredited IROs must meet is access to all major physician specialties and subspecialties as well as the ability to meet tight review timeframes. URAC’s accreditation is for three years.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).