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Peer Review eNews

URAC Accreditation Exceeds 20 Years

2/1/2022

 
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In August 2021, URAC provided notice to CIMRO of "full accreditation" pursuant to the Independent Review Organization (IRO), External Review 5.2 Standards for the maximum three-year period (September 1, 2021 – September 1, 2024).



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Notably, CIMRO has been URAC accredited for greater than 20 years. We were first accredited by URAC from 2001 to 2009 as a Health Utilization Management (HUM) organization, and then as an IRO since 2009. 

The rigor of the accreditation process confirms our processes meet industry best practices.  


​Physician reviewers involved in IRO reviews must have at least 5 years’ experience providing direct clinical care to patients and managing the medical condition, procedure, treatment or issue under review within the past 3 years. 

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

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2902 Crossing Court
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Champaign, IL 61822

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  • 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
    • Careers
    • Leadership
    • Peer Reviewer Portal
  • Contact Us
  • News
  • Privacy
  • 🔍 Search