State agency ยท Washington State Office of the Insurance Commissioner
Washington independent review decision search
A state search of independent review decisions Washington has collected since 2016. Results show the insurer, diagnosis and treatment, the outcome and the reviewer's reasoning.
Know before you go
Searches use lists of diagnosis and treatment codes with thousands of entries, and the report found no plain keyword search and no overall percentages. A decision shows the reviewer's reasoning, which can help you see what evidence mattered. Every case is different, so an earlier result does not decide yours.
- Cost
- Free to search, according to the department's report.
- Where
- Washington
- How to start
- Choose a year, insurer, diagnosis, treatment or outcome in the search form. Ask your doctor's office to help find the right codes.
- Phone
- 800-562-6900, as printed on the provider's page
- Have ready
- The diagnosis and treatment codes from your records or bill; The name of your insurer
Where this comes from
- Provider
- Washington State Office of the Insurance Commissioner
- Source we read
- https://fortress.wa.gov/oic/consumertoolkit/Search.aspx?searchtype=indrev
- Date we read it
- . This is not a fresh check.
- Date the provider printed
- Not displayed
- What we checked
- We could not read all of the provider's current page, so this summary relies partly on earlier research. Check the provider's page before you rely on it.
Other starting points
- Program or service
AppealArmor
A free web tool that reads a photo or text of your denial letter, shows you what it read, and emails an appeal letter and a Next Steps sheet with where to send it and your deadline. It also has a deadline calculator.
From AppealArmor
- Program or service
California Independent Medical Review decision search
A searchable database of every California Independent Medical Review decision since 1 January 2001. Search by drug, treatment, therapy or condition to read how reviewers decided cases like yours.
From California Department of Managed Health Care
- Program or service
Crohn's & Colitis Foundation appeal letter library
Customizable appeal letters for Crohn's disease and ulcerative colitis treatments, tests and dose changes, including a request to use a biologic without first failing other drugs. Written for the doctor's office to edit.
From Crohn's & Colitis Foundation