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Department of Insurance

Department of Insurance and Self Funded External Reviews

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CIMRO is accredited by URAC as an Independent Review Organization (IRO) for External Review. External peer review services provide an unbiased independent review of denied health insurance claims.

These services are provided to state departments of insurance or self funded/third party administrators for member appeals of health care services that have exhausted the health plan's internal appeals processes, including denials due to:
  • Medical necessity 
  • Experimental/investigational
  • Pre-existing condition/rescission of health coverage

Prior to accepting any case for external peer review, CIMRO ensures that there is no organizational conflict of interest and that no conflict of interest exists with the clinical peer reviewer selected to conduct the review.

External peer reviews are conducted in accordance with federal and applicable state specific regulations.  

CIMRO's pricing structure is established during the application or contracting process.

Address

CIMRO
2902 Crossing Court
​ Suite C

Champaign, IL 61822

Phone & Email

Tel 1-217-352-1060
Toll free 1-800-635-9407
Fax 1-217-352-1182
​[email protected] 

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Department of Insurance

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​Peer Review Services
  • Home
  • Peer Review Services
    • Why Outsource?
    • Review Types
    • Peer Review Process
    • Peer Review Panel
    • Pricing
    • Department of Insurance
  • Why Choose CIMRO?
    • Our Physicians
    • Secure e-Messaging
    • Quality
    • Customer Service
    • Testimonials
    • Experience
    • Value
    • Integrity
  • About Us
    • Leadership
  • Careers
  • Contact Us
  • News
  • Peer Review Portal
    • Resources for Reviewers