Application for Certification as an Independent Review Organization (Iro) - New Hampshire

Application for Certification as an Independent Review Organization (Iro) is a legal document that was released by the New Hampshire Insurance Department - a government authority operating within New Hampshire.

FAQ

Q: What is an Independent Review Organization (IRO)?A: An Independent Review Organization (IRO) is a third-party entity that conducts impartial reviews of medical claims and treatment decisions.

Q: Why would someone apply for certification as an IRO in New Hampshire?A: Someone may apply for certification as an IRO in New Hampshire to be recognized as a qualified organization to conduct independent reviews of medical claims in the state.

Q: How can I apply for certification as an IRO in New Hampshire?A: To apply for certification as an IRO in New Hampshire, you would need to complete and submit the application form provided by the New Hampshire Insurance Department.

Q: What are the requirements for certification as an IRO in New Hampshire?A: The requirements for certification as an IRO in New Hampshire include meeting certain financial stability, administrative, and operational criteria, as well as having qualified professionals to conduct the reviews.

Q: How long does the certification process for an IRO in New Hampshire take?A: The certification process for an IRO in New Hampshire can take approximately 90 days from the date the application is received by the New Hampshire Insurance Department.

Q: What is the fee for certification as an IRO in New Hampshire?A: The fee for certification as an IRO in New Hampshire is $1,000, payable at the time of application.

Q: What is the term of certification for an IRO in New Hampshire?A: The term of certification for an IRO in New Hampshire is two years, renewable upon meeting the necessary requirements.

Q: What are the responsibilities of a certified IRO in New Hampshire?A: The responsibilities of a certified IRO in New Hampshire include conducting impartial reviews of medical claims, adhering to applicable laws and regulations, and providing objective and unbiased decisions.

Q: Can an IRO in New Hampshire charge fees for their services?A: Yes, an IRO in New Hampshire can charge reasonable fees for their services, which should be disclosed in their application and made known to the parties involved in the review process.

Q: What happens if an IRO in New Hampshire fails to comply with the certification requirements?A: If an IRO in New Hampshire fails to comply with the certification requirements, their certification may be suspended or revoked by the New Hampshire Insurance Department.