Nairo

From Ask in Wiki

The National Association of Independent Review Organizations (NAIRO) was established to protect the integrity of the independent medical review process. The organization represents most of URAC-accredited independent review organizations (IROs). Using the expertise of hundreds of board-certified clinicians throughout the country, its members use an evidence-based medical case review approach to resolve coverage disputes between enrollees and their health plans.

The need for uniform regulations from state to state and a uniform application process is what brought NAIRO members together. Their goal is to simplify the regulated IRO/ERO application process and review requirements among the states.

References

• AHIP
• Healthfinder
• List of NAIRO Members