Statutes and regulations

Certification of Independent Review Organizations

IN Bulletin 99 · Indiana · Agency guidance

Indiana Department of Insurance Bulletins › Certification of Independent Review Organizations

review determinations, adverse determinations of medical necessity or determinations that a proposed service is experimental or investigational. … This list shall include a brief description of the nature of any such arrangement. 7) A description of how the organization will: a) Provide licensed review personnel who possess the appropriate training

Certification of Independent Review Organizations

IN Bulletin 188 · Indiana · Agency guidance

Indiana Department of Insurance Bulletins › Certification of Independent Review Organizations

Work performed should be broken down into the following review types: a) Preliminary review; b) Situations where full review is not necessary owing to reversal by the insurer of its adverse determination … This list must include a brief description of the nature of any such arrangement. 7) A description of how the organization will: a) Provide licensed review personnel who possess the appropriate training

Certification of Independent Review Organizations

IN Bulletin 193 · Indiana · Agency guidance

Indiana Department of Insurance Bulletins › Certification of Independent Review Organizations

Work performed should be broken down into the following review types: a) Preliminary review; b) Situations where full review is not necessary owing to reversal by the insurer of its adverse dete1mination … This list must include a brief description ofthe nature of any such anangement. 7) A description ofhow the organization will: a) Provide licensed review personnel who possess the appropriate training