Ohio External Review System

On July 1, 2018, the department implemented a new External Review System.  The new system includes important technology and security updates as well as enhancements to improve user experience.  Please carefully review the following information:

• All external review cases must be submitted and processed in the External Review System.
• Each individual user must log in through the OH|ID to access the External Review System:
  • If you have not ever registered in the Gateway, you will have to create a new Gateway user account.
    • Create new Gateway account - IRO user
    • Create new Gateway account - Health Plan user
  • If you already have an account in the Gateway you must update your Gateway account​ for access to the new External Review System.
• New users must be verified by the organization(s) they represent in the External Review System.  Verification is accomplished by submission of a completed contact information form to the External Review program administrator at external.review@insurance.ohio.gov:
  • Health Plan Issuer Contact Information Form
  • TPA (Third Party Administrator) Contact Information Form
  • IRO Contact Information Form

For technical assistance or questions, contact the External Review program administrator at external.review@insurance.ohio.gov or 614-644-0188.

Application for Accreditation as an Ohio IRO

• IRO Initial Accreditation Application Form
• IRO Renewal Accreditation Application Form
• IRO Accreditation Application Biographical Questionnaire