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Texas Department of Insurance
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Request for review by an IRO

Which type of review do you need?

  • For workers’ compensation and disease-specified plans (like cancer plans), you can ask for a review by an independent review organization (IRO). There are more details below.
  • For all other health plans, ask your health plan for an external review. Learn more: How to file an appeal or ask for an external review

How do I file an IRO request?

  • Utilization review agents (URAs), payers, insurance companies, and their authorized representatives:
    Use the Online IRO Request System. (Instruction manual)
  • Injured employees, health care providers, or their authorized representatives:
    Fill out the request for a review form. (Español)
  • For preauthorization exemption recissions related to HB 3459, see the link to “IRO FAQs” from the “Other Links” section at the bottom of this page.

Rules and regulations

Flow charts

Other links

For more information, contact:

Last updated: 7/19/2023