Independent review organizations definition

Independent review organizations means an organiza- tion certified under s. 632.835 (4), Stats.
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Independent review organizations means an organization certified under s. 632.835 (4),
Sample 1

Examples of Independent review organizations in a sentence

  • Independent review organizations (“IRO”) are selected by the DFR and must not have any conflict of interest associated with the review.

  • Independent review organizations shall maintain all records concerning external reviews for at least three years after conclusion of each external review.

  • Independent review organizations are entities that conduct independent external review of adverse benefit determinations.

  • Independent review organizations as defined in section 3922.01 of the Revised Code seeking accreditation or accredited by the superintendent to conduct external reviews on behalf of health plan issuers on or after January 1, 2012.

  • Formerly RCW 43.70.235.] Savings clause—Automatic certification—2016 c 139: "(1) Independent review organizations remain subject to RCW 48.43.537, as it existed on January 1, 2016, and the rules adopted by the department of health under that section through December 31, 2016.

  • Independent review organizations shall be designated by the carrier, and the independent review organization chosen shall not own or control, be a subsidiary of, or in any way be owned or controlled by, or exercise control with a health insurance plan, a national, state, or local trade association of health insurance plans, and a national, state, or local trade association of health care providers.

  • A statement of recommended standards for legal reviewers could take substantially the following form: Independent review organizations will establish and implement criteria for the number and qualifications of required legal reviewers considering the population served.

  • Independent review organizations seeking accreditation or accredited by the superintendent to conduct external reviews on behalf of health insuring corporations, insurers, and public employee benefit plans on or after May 1, 2000.

  • Independent review organizations that are certified as of December 31st of the calendar year will be re­ quired to submit an annual recertification, using the commissioner's online service, no later than March 31st of the following calendar year.

  • Where there is a verb inflected with a first- or second-person marker, then coreferential independent pronouns cannot occur in the same intonational phrase (Baker 2002: 60–61).

Related to Independent review organizations

  • Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1.

  • Provider Organization means a group practice, facility, or organization that is:

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Nonprofit organization means a university or other institution of higher education or an organization of the type described in section 501(c)(3) of the Internal Revenue Code of 1954 (26 U.S.C. 501(c) and exempt from taxation under section 501(a) of the Internal Revenue Code (25 U.S.C. 501(a)) or any nonprofit scientific or educational organization qualified under a state nonprofit organization statute.

  • Independent System Operator means a person that may receive or has received, by transfer pursuant

  • Business organization means an individual, partnership, association, joint stock company, trust, corporation or other legal business entity or successor thereof.