January 13, 2015
On Dec. 24, 2014, the Louisiana Department of Insurance (LDI) released Bulletin 2014-08. The bulletin informs all health insurance issuers, health maintenance organizations, utilization review organizations and independent review organizations (IROs) of the electronic process established by LDI for external reviews. The bulletin describes the new IRO Review Request Module, which will be used to submit external review requests and to assign external reviews to IROs. Anytime a plan enrollee requests an external review of their claims decision, that information will go into the module. The bulletin further discusses details of the module, and an instruction manual for the module is attached to the bulletin. The electronic process became effective Jan. 1, 2015.
Bulletin 2014-08 »