State of Iowa

Certified Independent Review Organizations

An Independent Review Organization, as defined in Iowa Code chapter 514J, is an entity that conducts independent external reviews of adverse determinations made by health carriers. External reviews can be conducted of certain adverse determinations related to dental insurance. Maintained by the State of Iowa.

Example records
NamebrandCityaddressStateaddressZIP CodeaddressStreet AddressaddressFull NamepersonEmailwebsitePhonephone numberWebsitewebsiteExternal ReviewclassificationLong Term CareclassificationDental Reviewclassification
H.H.C. GroupGaithersburgMD20877438 N. Frederick Avenue, Suite 200AChico Fernandez, Asst Vice Presidentmrp@hhcgroup.com3019630762www.hhcgroup.comXX
Emperion Inc dba MCNTampaFL3361814499 N Dale Mabry Hwy, Ste 230-STricia Poncez, IRO Operations Manageriro@mcn.com8884479036www.mcn.comXX
EdiPhy Advisors f/k/a MedManagement, LLCBirminghamAL352421500 Urband Center Drive, Suite 525Amy Beard, MSN, RN, NEA-BC, Chief Clinical & Qualilogging-IRO@medmanagementllc.com2059708800www.medmanagementllc.comXX
Use cases

Health Carrier Vendor Qualification

A compliance officer at a health insurance carrier operating in Iowa needs to select a state-certified IRO before initiating an external review process, and cross-checks the organization's name, contact details, and certification scope against internal vendor approval records to confirm eligibility.

NameExternal ReviewDental ReviewLong Term CareEmail

KYB Entity Resolution for Healthcare Counterparties

A fintech platform onboarding healthcare-adjacent businesses as clients runs the IRO name and address against commercial business registries to confirm the legal entity is active, properly registered in its home state, and that the listed officer matches public incorporation records.

NameFull NameStreet AddressCityState

Insurance Market Coverage Gap Analysis

A market intelligence team at a dental insurance company maps the geographic distribution of certified dental IROs to assess whether adequate independent review capacity exists across regions, informing decisions about where to expand plan offerings.

Dental ReviewLocationCityStateName
Related datasets
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