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Home » Bulletins » Pennsylvania Updates 2025 Fee Schedule for Independent Review Organizations

Pennsylvania Updates 2025 Fee Schedule for Independent Review Organizations

PA| The Pennsylvania Insurance Department has published the 2025 fee schedules for Independent Review Organizations (IROs) conducting external reviews of adverse benefit determinations and grievances.

The rate categorizes fees as follows:

  • Standard Independent External Review Fees: Base rates charged for external reviews, with categories for Medicaid/CHIP, Commercial Insurance, and Experimental/Investigational reviews.
  • Expedited Independent External Review Fees: Rates for faster, expedited review cases in the same core categories as standard reviews.
  • Withdrawn/Cancelled/Reconsideration Fees: Fees charged when cases are withdrawn, cancelled, or require reconsideration.
  • Additional Fee Structures: Supplemental charges, such as page fees for large case files and extra charges for multiple-physician panel reviews or cases exceeding standard parameters.

Click here to see PA Notice 2025-08

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