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External Review Case Management System

Currently, we are providing instructions for the system-wide outage that ODI will experience beginning Saturday, May 17, 2014, 8:00 AM through Monday, May 19, 2014 8:00 AM.

The Ohio Department of Insurance (ODI) is performing system upgrades. The web applications used to initiate and report outcomes for External Review cases will be unavailable during this period. Please follow the instructions provided below for External Review case activities that need to be performed during the system outage:

 

Initiation of a New External Review Case:

     

  1. Expedited 72-Hour IRO Review (does not apply to Contractual or retrospective IRO review): Call ODI at and follow the instructions in the after-hours voicemail message to initiate an expedited IRO review offline.
  2. (Does not apply to Contractual or retrospective IRO review): Call ODI at 614-644-2644 and follow the instructions in the after-hours voicemail message to initiate an expedited IRO review offline.

     

    Important! - Be sure to call ODI (614-644-2644) on Monday, May 19, 2014, to provide information and get further instructions for any Expedited Review case initiated offline during the outage.

     

  3. Standard 30-Day IRO or Contractual Review (applies to all retrospective review cases): Standard reviews can be held until Monday, May 19, 2014 after 8:00 AM, when the External Review web applications are back online.
  4. (Applies to all retrospective review cases): Standard reviews can be held until Monday, May 19, 2014 after 8:00 AM, when the External Review web applications are back online.

 

External Review Case Outcome Reporting:

 

Outcome reporting should be postponed until Monday, May 19, 2014, when the External Review web applications are back online.

Note: Expedited Review case outcome required notifications to the health plan issuer and enrollee/authorized person(s) should be sent as usual and not delayed pending outcome reporting to ODI.

 

We apologize for any inconvenience and appreciate your patience and cooperation while we complete this important system upgrade.


The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Mary Taylor, Lt. Governor / Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578