Iowa Admin. Code r. 191-76.6

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 191-76.6 - Assignment of independent review organization by the commissioner

(1) The assignment by the commissioner of an independent review organization pursuant to Iowa Code chapter 514J shall be by rotation among approved independent review organizations.

(2) Upon assignment by the commissioner of an independent review organization, in addition to providing notice to the health carrier and the covered person or covered person's representative as required by Iowa Code chapter 514J, the commissioner shall provide notice of the assignment to the independent review organization.

(3) Within two business days of receipt by the independent review organization of notice from the commissioner pursuant to subrule 76.6(2), the independent review organization shall make a determination of its ability to perform the external review and advise the commissioner if the independent review organization is unable to perform the review due to conflict of interest or due to lack of expertise or qualification for the particular subject matter of the review.

Iowa Admin. Code r. 191-76.6

Adopted by IAB June 22, 2016/Volume XXXVIII, Number 26, effective 7/27/2016