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WHAT IS AN IRO? Within the health care industry, an independent review organization (IRO) acts as a third-party medical review resource which provides objective, unbiased medical determinations that support effective decision making, based only on medical evidence.
What is the legal term IRO?
IRO is an acronym which stands for Independent Review Organization. Independent Review Organizations (IROs) are entities that conduct independent external reviews of adverse determinations involving appropriateness of care, medical necessity criteria, level of care, and effectiveness of a requested service.
How does iro work?
The IRO selects a qualified health care provider to review the medical records related to the denied service and provide an independent opinion as whether the denied service is medically necessary or appropriate, or experimental and investigational.
What is the meaning of iro?
Definition of IRO 1. (formerly, in Britain) Inland Revenue Office. 2. International Refugee Organization.
What is an iro form?
REQUEST FOR A REVIEW BY AN INDEPENDENT REVIEW ORGANIZATION (IRO) INSTRUCTIONS. Instructions to Patient, Person Acting on Behalf or Representative of Patient/Employee, and Provider: This form is being provided to you because your request for health care services has been denied as not medically necessary.
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You can attach it in the online renewal form or with the IRO Application, Form LHL006. PDF, English. LHL009, Request for Review by an IRO Form used by Patients
(h) This subsection pertains to the 2012-2013 reconsideration request [in the form and format prescribed by the Di LHL009 must [notification and information
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