What is an independent review organization?

An independent review organization (IRO) is a type of organization that reviews disputes between health insurance companies and individuals in the state of Washington. The IRO is responsible for making sure that insurance companies follow applicable laws, as well as ensuring that individuals get the care and coverage that they are entitled to. When a dispute arises between an individual and an insurance company, the IRO can review the case and make a recommendation. The recommendation can range from ordering the insurance company to provide the coverage that was denied, to requiring the individual to pay additional premiums or co-payments. The decision of the IRO is final and binding. The main goal of the IRO is to provide fair and impartial decisions on complaints regarding health insurance coverage. It also helps to protect an individual’s right to access health care services in Washington and to make sure that insurance companies comply with the laws and regulations of the state. Insurance companies must provide information to the IRO if it requests it and must abide by the decisions made by the IRO. Individuals can also file complaints with the IRO in order to seek a resolution to their health insurance dispute. The IRO can investigate any individual claim and take action if it is determined to be justified.

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What is an independent review organization?

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