Question 17

Question

Does a standard external review take 45 days? 

Yes Answer

Correct!

The Independent Review Organization (IRO) will provide a written notice to uphold or reverse the insurer’s claim denial within 45 days after receipt of your external review request.  The notice will include the reason for the decision, any evidence-based standards that were a basis for the decision and references to evidence or documents considered in reaching the decision.

How long to decide expedited

No Answer

Incorrect!

The Independent Review Organization (IRO) will provide a written notice to uphold or reverse the insurer’s claim denial within 45 days after receipt of your external review request.  The notice will include the reason for the decision, any evidence-based standards that were a basis for the decision and references to evidence or documents considered in reaching the decision.

How long to decide expedited