Utilization Review Licensing in Idaho

A nurse holding up a broken patients arm.

Utilization review licenses and certificates are typically issued for organizations conducting either medical or workers’ compensation reviews. This guide contains information about utilization review in Idaho. For assistance with licensing, please contact us to learn about our software and managed license services.

Idaho Independent Review Organization (IRO) Registration

Type of Review:

Medical Utilization Review

Agency:Idaho Department of Insurance

Initial Registration

Form:

Application for Registration as an IRO

Agency Fee:

$500

Registration Renewal

Form:

IRO Renewal Form

Agency Fee:

$300

Due:

Biennially by the date of issuance.

Idaho Resources

Annual Report Apostille - Authentication Architecture Firm License Articles of Incorporation Articles of Limited Partnership Articles of Organization Business License Certificate of Authority Certificate of Cancellation Service Certificate of Good Standing / Existence Certificate of Merger Certification - Authentication Change Your Registered Agent
Charitable Gaming License Charitable Gift Annuity Licensing Compliance Charitable Registration Construction License Converting Your Entity Corporation LLC Nonprofit Amendment Dissolve Corporation LLC Nonprofit Employer (Payroll & Withholding Tax) Registration Service Employment Agency Licensing Energy Licensing Engineering Firm License Entity Name Reservation Fictitious Name Registration & Renewal
Finance Licensing In Foreign Corporation Foreign LLC Healthcare and Pharmaceutical Licenses How to Form an LLC How to Incorporate How to Start a Nonprofit Organization Insurance Licensing Licensing Resources Moving Your Company's Domicile to Nonprofit Articles of Incorporation Nonprofit Compliance Obtain Certified Copies
Private Investigator License Real Estate Licensing Registered Agent Service Reinstate Corporation LLC Nonprofit Sales & Use Tax Registration Service Sales Tax Exemption Start a Business Tax Clearance Certificate Tax Exemption Utilization Review Certification / License

Adverse Determination - When a health care plan or utilization review program decides that a medical treatment or service is not necessary.

Concurrent Review - Utilization review that is conducted during a patient’s course of treatment.

External Review - When an independent review organization is consulted to appeal an insurance company’s adverse determination.

Independent Review Organization (IRO) - Unbiased third-parties that conduct utilization review.

Prospective Review - Utilization review that occurs prior to treatment.

Retrospective Review - Utilization review that occurs after treatment and often after payment.

Utilization Review - A system for evaluating the medical necessity, efficiency, and appropriateness of medical services.

Utilization Review Agent (URA) - An entity that conducts utilization review.

Utilization Review Plan - A document of the procedures used during utilization review.

Revised July 26, 2018. Complete data last reviewed July 26, 2018.
Are You Compliant?
Answer just a few questions and our software searches public databases to detect your status and gaps.
Sign Up for Emails
Better Business Bureau logo
Trustwave logo

© 2012 - 2024 Harbor Compliance. All rights reserved.

Harbor Compliance does not provide tax, financial, or legal advice. Use of our services does not create an attorney-client relationship. Harbor Compliance is not acting as your attorney and does not review information you provide to us for legal accuracy or sufficiency. Access to our website is subject to our Terms of Use and Service Agreement.

Terms of Service Privacy Policy Secure Shopping