Nairo

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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.


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