This site contains the method by which a health carrier, the Medical Assistance Administration-Department of Social and Health Service, and the State Health Care Authority can be assigned a certified independent review organization upon the request of a covered person who has complied with the carrier's grievance process.

How to file:

IRO Assignment Instructions
IRO Assignment Form (PDF 20Kb)

Please note: The IRO Assignment Form is provided in PDF format, which can be viewed, filled out and e-mailed using Adobe Acrobat reader (available for free from Adobe's download site.)

Related Statutes and Regulations
RCWs:
WACs:
Link to full text of PBR law

Resources:

If you have questions regarding the filing of the IRO form please contact:

Janis LaFlash, Office of Insurance Commissioner

Ohone: (360) 725-7119

Fax: (360) 586-0759

E-mail: JanisL@oic.wa.gov

If you have any questions regarding the Certification of Independent Review Organizations please contact:

Karen Jensen, Department of Health

Phone: (360) 236-4621

Fax: (360) 236-4626

E-mail: Karen.Jensen@doh.wa.go

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