When it comes to patient care, licensing and certification, and credentialing of their providers, managed care organizations are called upon to meet rigorous state regulations. Independent Review Organizations ease their burden by providing managed care organizations (Managed Care Organization) with a flexible means for outsourcing their medical reviews and pre-authorizations to an entity which is capable of providing credentialed, state-licensed physicians for all specialties and subspecialties. Increasingly this is important as organizations work across state lines to provide pre-authorizations for expensive and complex treatments and manage patient populations in a several states.

An Independent Review Organization provides great value because it can work across states lines and is set up to recruit and credential specialists in multiple states to meet state regulatory requirements more easily than an Managed Care Organization can. This is why an increasing number of Managed Care Organizations turn to Independent Review Organizations for outsourcing their preauthorization approvals to get specialty matches of complex and costly medical treatments. Whether it?s for group health, workers comp, disability Third Party Administrators, re-insurers or self-insured organizations, an Independent Review Organization provides the flexibility to respond to the complexity of state regulations.