Request for Review by an IRO
The purpose of this page is to provide information for filing Independent Review Organization (IRO) requests, and on how to obtain access to the IRO online system.
How do I file an IRO request?
- EXTERNAL REVIEW PROCESS NEWS: http://www.tdi.texas.gov/bulletins/2011/cc50.html
- Companies - Utilization Review Agents (URAs), Payors, Carriers, and their authorized representatives
- Online IRO Request System
- TXCOMP - Instructions on the TXCOMP system to request password access for the online form
- OLRQI - Instructions on how to complete the online IRO Request Form - Patients/Injured Employees or their authorized representatives
- LHL009 - Request for Review by an IRO
English: (PDF)
Spanish: (PDF) - Health Care Providers or their authorized representatives
- LHL009 - Request for Review by an IRO
English: (PDF)
Spanish: (PDF)
Applicable Rules and Regulations
- Health Care - 28 TAC §19.1721
- Certified Workers' Compensation Health Care Network
MDR By Independent Review Organizations - 28 TAC §133.308 - Workers' Compensation (Non-Network)
MDR By Independent Review Organizations - 28 TAC §133.308 - 28 TAC Chapter 12
Flow Charts
- Healthcare Plans IRO
- Workers Compensation Non Network (WC) IRO
- Workers Compensation Healthcare Network (WCNet) IRO
Related Links
For more information contact:
Last updated: 02/03/2012
