As a consumer, you have the right to:

  • expect that any medical records and personal health information have been treated as confidential and protected.
  • receive information regarding the Utilization Management determination, including the clinical rationale and clinical criteria used to make the determination.
  • be informed of appeal procedures, timelines, and instructions about how to request an appeal.
  • request information about how to file a complaint, file a complaint, and receive timely resolution or a referral of the complaint to another entity.

As a consumer, you have the responsibility to:

  • provide the most accurate and complete information to your healthcare provider regarding your clinical history.
  • be familiar with state laws and how they affect your workers’ compensation claim.

Diversity, Equity, and Inclusion at NIRO

At National Independent Review Organization (NIRO), we are taking steps to transform our company culture to a place where racial bias and inequity has no place. We serve a diverse population and our policies must address healthcare inequities and reflect our acknowledgement of cultural biases in healthcare.

We are committed to recognizing how cultural biases affect healthcare services and how we can mitigate these concerns. Specifically, NIRO provides its employees with DEI training and engagement opportunities on an ongoing basis. NIRO recognizes the effects of inherent biases and, through our employee training program, we seek to provide the best possible outcome for our consumers.

At NIRO we strive to create an environment that embraces the full spectrum of humanity regardless of race, gender, ethnicity, age, culture, religious belief, sexual orientation, gender identity, or socioeconomic class.

NIRO welcomes feedback from our consumer community. If you have any questions or concerns, please contact us via our toll free line at 1-877-350-2976 or via email at info@iniro.com.

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