Independent Review Organization

Organización de Revisión Independiente

In 9 languages

LanguageTerm
EnglishIndependent Review Organization
Spanish (Español) Organización de Revisión Independiente
Chinese (中文) 独立审查机构
Korean (한국어) 독립 검토 기관
Vietnamese (Tiếng Việt) Tổ chức đánh giá độc lập
Filipino (Tagalog) Independent Review Organization
Portuguese (Português) Organização de revisão independente
Thai (ภาษาไทย) องค์กรตรวจสอบอิสระ
Japanese (日本語) 独立審査機関

What it means

An Independent Review Organization (IRO) is an accredited third-party company that conducts external reviews of health plan coverage denials after you have exhausted internal appeals. The IRO's decision is binding on the health plan—it cannot ignore or override it. Federal law requires most employer-sponsored and ACA marketplace plans to offer external review through a certified IRO. You typically have 60 days from a final internal denial to request an external review. For urgent situations where waiting could seriously harm your health, expedited external reviews must be completed within 72 hours. The IRO external review process is generally free to you as a patient.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

IRO—independent review organization

organización de revisión independiente

external appeal reviewer

revisor de apelación externa

request an external review of your denial

solicitar una revisión externa de su denegación

Where you'll see it

final denial letter from health planappeal rights noticeSummary Plan Description (SPD)state insurance department referral letter

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026