|
State |
Accreditation / Certification |
Department |
Description |
|
AR |
Independent Review Organization |
Insurance Department |
External Reviews |
|
CO |
Independent Review Entity |
Department of Insurance |
External Grievance Appeals |
|
CT |
Independent Review Organization** |
Department of Insurance |
External Appeals |
|
DE |
Utilization Review Services** |
Office of Workers’ Compensation |
Workers’ Compensation UR Services |
|
GA |
Independent Review Organization |
Department of Community Health |
External Reviews |
|
ID |
Independent Review Organization |
Department of Insurance |
External Reviews |
|
IL |
Independent Review Organization |
Department of Insurance |
External Reviews |
|
IN |
Independent Review Organization |
Department of Insurance |
External Grievance
Appeals |
|
KY |
Independent Review Entity |
Office of Insurance |
External Reviews
|
|
NC |
Independent Review Organization |
Department of Insurance |
Independent External Reviews
|
|
OH |
Independent Review Organization* |
Department of Insurance |
External Grievance Appeals |
|
OK |
Private Review Agent |
Department of Insurance |
UR Services For MCOs |
|
PA |
Utilization Review Entity |
Department of Health |
UR Services For MCOs |
|
PA |
Utilization Review Entity |
Department of Health |
External Grievance Appeals |
|
PA |
Independent Review Organization - Long Term Care |
Department of Insurance |
External Review of Long Term Care Contracts |
|
SC |
Independent Review Organization |
Department of Insurance |
External Reviews |
|
SC |
Private Review Agent |
Department of Insurance |
UR Services for MCOs |
|
SD |
Independent Review Organization |
Division of Insurance |
External Reviews |
|
SD |
Independent Review Organization - Long Term Care |
Division of Insurance |
External Reviews of Long Term Care contracts |
|
WA |
Independent Review Organization |
Department of Health |
External Reviews |
|
WI |
Independent Review Organization |
Office of the Commissioner of Insurance |
External Reviews |
|
WY |
Independent Review Organization |
Department of Health |
External Reviews |