| Which types of organizations use an IRO
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| | to administer claims. Disability
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| to provide independent medical reviews or
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| | insurance carriers, their TPAs and
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| peer reviews? Many companies can benefit
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| | medical management firms also use IROs as
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| from this type of service.Foremost are
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| | well as workers compensation carriers,
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| health plans and health insurance
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| | their TPAs and medical management firms.
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| carriers that require an IRO in order to
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| | Property and casualty firms that are
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| make sure that they adjudicate claims in
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| | paying out medical claims also turn to
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| a properly.Second are third party
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| | independent review organizations to
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| administrators (TPAs) that administer
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| | review claims. Fraud units working inside
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| benefits and claims for health plan
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| | larger health plans and special
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| payers.Third are reinsurers or stop-loss
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| | investigative units use independent
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| carriers. Stop-loss carriers use
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| | review organizations to look at the
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| independent review organizations as a way
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| | medical necessity of treatments and
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| to assure that they are getting a second
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| | validate or to root out potential
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| objective and unbiased opinion for their
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| | provider fraud.As you can see, many
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| most expensive and complex medical claims
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| | different types of organizations in
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| that they are called to provide coverage
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| | different markets turn to IROs as a
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| for.Fourth are large self-insured
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| | critical source to decide, adjudicate and
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| corporations that pay their own health
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| | authorize health care claims. IROs today
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| care benefits. They are increasingly
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| | are an accepted best practice by the
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| turning to IROs in order to help with
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| | largest and the smallest organizations
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| their claims decision making.Fifth are
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| | that participate in managing care for
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| managed-care organizations that are
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| | patients today.About AllMed Healthcare
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| providing preauthorization point of care
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| | Management Founded in 1995, AllMed is a
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| determinations for their patients.Sixth
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| | URAC-accredited Independent Review
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| are utilization review companies. They
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| | Organization (IRO) serving insurance
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| use IROs to preauthorize complex, special
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| | payers, providers, TPAs and claims
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| and costly treatments.Utilization
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| | managers nationwide. Reviews are
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| management companies and business units
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| | conducted by board-certified physicians
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| inside larger firms also use IROs.
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| | in active practice. AllMed's growing
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| Medical management companies use IROs
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| | customer base for its independent medical
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| routinely to outsource their claims
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| | review and hospital peer review services
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| decision making and preauthorization of
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| | includes premier organizations, such as
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| treatments. Union trusts also turn to
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| | Educator's Mutual Life, IMS Managed Care,
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| Independent Review Organizations to make
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| | Tenet Healthcare Corporation,
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| sure benefits are properly administrated
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| | HealthGuard, several Blue Cross Blue
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| for their union populations.All of these
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| | Shield organizations, TriWest Healthcare
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| organizations work in the health care
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| | Alliance, Allianz and many other leading
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| space to provide either payment services
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| | healthcare payers. Read the AllMed
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| or preauthorization of treatments. There
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| | Medical News Blog and the Independent
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| are other types of insurers that also use
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| | Review Organization Blog.
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| independent review organizations in order
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