Independent Review Organization Accreditation Program Overview

These URAC standards assure that organizations that perform this service are free from conflicts of interest, establish qualifications for physician reviewers, address medical necessity and experimental treatment issues, have reasonable time periods for standard and expedited reviews, and appeals processes. An organization with this URAC accreditation strives for a fair and impartial review process that is of benefit to both patients and physicians with grievances. URAC's scope of Independent Review accreditation does not include Medicare. URAC’s International Policy does not permit Independent Review Organizations to offshore any of the functions under the scope of URAC’s Independent Review Organization Accreditation. Additionally, international companies are not eligible to pursue URAC’s Independent Review Organization Accreditation. For further information on international accreditation please contact businessdevelopment@urac.org

 

Created by Matrix Group International, Inc