1
Internal Review
Plan Medical Director reviews original denial
30 days standard / 72h expedited
2
External (IRO)
Independent Review Organization evaluation
45 days standard / 72h expedited
Expedited Appeal
Fast-track for urgent medical necessity
72 hours maximum
ALJ
ALJ Hearing
Administrative Law Judge if L2 upholds denial
90 days from L2 decision
Active Appeals
Appeal ID Original Denial Member Level Days Open Deadline IRO Status Actions
Appeal Detail
Select an appeal to view details
IRO Assignment
National IRO Partners, LLC
Case APL-2025-0034
AssignedDue Feb 10
Page Guide
Appeals Process
  • L1: Plan internal review by medical director
  • L2: Independent IRO if L1 upheld
  • Expedited: 72h for urgent cases at any level
  • ALJ: Administrative Law Judge if L2 upheld
  • IRO decisions are binding on the plan
IRO Requirements
ALJ Hearings
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