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URAC Open Public Comment Period for New Independent Review Organization Standards
Date:9/22/2009

Changes Reflect Provisions in NAIC Model Act

WASHINGTON, Sept. 22 /PRNewswire-USNewswire/ -- URAC, a leading health care accreditation and education organization, announced today that the public comment period is now open for proposed changes to its Independent Review Organization (IRO) Standards, Version 4.1. Purchasers, policy makers, consumers, health care management organizations, IROs, and health plans are encouraged to provide their comments on the proposed URAC standards now through November 6, 2009.

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URAC is committed to keeping its standards current with changes to regulatory and industry benchmark. The proposed changes to the IRO standards are aligned with new provisions in the Uniform Health Carrier External Review Model Act (the Model Act), which the National Association of Insurance Commissioners (NAIC) adopted in June 2008. The Model Act is designed to provide a national standard and uniform approach for processing, conducting, and making external review determinations. One of the provisions of the Act incorporates accreditation to create a streamlined process for approving Independent Review Organizations.

"Independent Review Organizations (IROs) play an important role in consumer protection. Currently it is IROs and state laws that advocate for consumer protection of insurance coverage and outline how consumers can appeal in cases of denial of payment or service," said Doug Metz, DC, C
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