Skip to content
Client Information Hub
  • Application Process Guide
  • Program Updates
    • Program Guide & Crosswalk Request Form
    • Case Management Updates
    • Disease Management Updates
    • Health Plan Updates
    • Independent Review Updates
    • Pharmacy Updates
  • Outcomes & Measures
  • News
  • Glossary
  • Resources
    • AccreditNet
    • Foundational Focus Areas
    • Webinars & Events
    • Submit an Interpretations Inquiry
  • Contact
  • URAC.org
  • Dashboard
  • Contact
  • Login
  • Logout
Client Information Hub
  • Application Process Guide
  • Program Updates
    • Program Guide & Crosswalk Request Form
    • Case Management Updates
    • Disease Management Updates
    • Health Plan Updates
    • Independent Review Updates
    • Pharmacy Updates
  • Outcomes & Measures
  • News
  • Glossary
  • Resources
    • AccreditNet
    • Foundational Focus Areas
    • Webinars & Events
    • Submit an Interpretations Inquiry
  • Contact

Independent Review

Home / Independent Review
« Back to Glossary Index

A process, independent of all affected parties, to determine if a health care service is medically necessary and medically appropriate, experimental/investigational or to address administrative/legal issues. Independent review typically (but not always) occurs after all appeal mechanisms available within the health benefits plan have been exhausted. Independent review can be voluntary or mandated by law.

Related Articles:
  • Dashboard
  • Webinars & Events
  • Program Updates
« Back to Glossary Index
Related Terms:
  • Term: Appeal

Quick Links

Resources

Webinars

Logins

Interpretation Portal

Latest Resources

  • This Month at URAC – January 2023
  • This Month at URAC – December 2022
  • This Month at URAC – November 2022
  • This Month at URAC – October 2022
  • This Month at URAC – September 2022
urac logo

1220 L Street NW
Suite 900
Washington, DC 20005
202-216-9010

  • Accreditations & Certifications
  • Outcomes & Measures
  • About URAC
  • News
  • Events
  • Code of Conduct
  • Terms of Use
  • Privacy Policy
  • Accessibility
  • Client Marketing Guide
  • Contact
  • Submit an Interpretations Inquiry
  • File a Grievance

© 2023 URAC. All Rights Reserved.

Website by Yoko Co

Scroll To Top