Ohio Department of Insurance  Health Claims 

Health Claim Denial Appeal Information

• Understanding the Health Coverage and External Review Appeals Processes
  A toolkit to help Ohioans understand the process by which they can appeal a health coverage claim denial made by their insurer.
• Annual External Review Outcome Summaries
  Ohio Revised Code Section 3901.82(D), directs the Department of Insurance to compile and annually publish information regarding independent external review outcomes. Below are links to annual reports, summarizing data the Ohio Department of Insurance has collected regarding external reviews.
• 2007
• 2006
• 2005
• 2004
• 2003

Independent External Review

For Insurers

• List of Accredited Organizations
• Select an Independent Review Organization (IRO)
• Company Outcome Reporting

For IROs

• IRO Outcome Reporting
• Application for Accreditation as an Ohio IRO:
  
  • Nationally Accredited Independent Review Entity
  • Independent Review Entity that is NOT Nationally Accredited