OneIRO Services
a complete and innovative solution with over 30 years of experience for all of your independent review needs
Our Mission
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Facilitate Proper Adjudication
OneIRO Services exists to make sure patients get the proper care in a timely manner - the primary focus of Independent Review. Proper care means treatment that is the most effective and equitable, and that meets plan financial duties to keep costs low for all.
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Add Clinical Insights in Specialty Fields
Our clients often need additional clinical support in specific medical fields as they make adjudication decisions. Sometimes a medical director doesn't suffice when specialty care arises. One-IRO provides the specialty expert match needed to provide the best clinical insights that help ensure proper decisions on treatment and coverage.
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Ensure Compliance with Federal, State and URAC regulations
As our clients deal with URAC, NCQA, Federal regulations under the ACA and State IRO laws, a trusted vendor who can assist in meeting those requirements is a necessity. One-IRO can bridge the gap between where you are and where you need to be for compliance.
Our
Services
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Peer Review
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Group Health
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Internal and External Review
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IRO Consulting
Who we serve
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Insurance Carriers
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Health Plans
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Third Party Administrators
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Self Insured
Our Vision
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OneIRO is devoted to quality outcomes for our clients' plan members. We respect the work our nation's health plans do every day to keep our nation healthy and to heal those in need.
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OneIRO is also dedicated to being the best of vendor partners. We will work closely with our clients to optimize service, protect clients from bad adjudication decisions, and offer services at a fair price.
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OneIRO is focused on client relationship and communication that provide the best basis for service. We will team with you to make your organization successful and win your trust.
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OneIRO knows that there are challenges in health care adjudication. Fraud, waste and abuse have been targeted by the federal government as a prioritized focus, so helping control these issues should unite us all. We will deliver the right clinical expertise to help spot or address FWA cases to keep costs down for all.