CMS-10338 Email response to plans and issuers electing private IRO process

DEPA RTM EN T OF H EA LTH & H UM A N SERVICES

Centers for Medicare & Medicaid Services

200 Independence Avenue SW
Washington, DC 20201

December 2011

Thank you for informing us that you are electing the private-accredited IRO process for external
review.
For instructions on how to participate in this external review process, please refer to the
Technical Release 2010-01 issued by the Department of Labor on August 23, 2010 (available at
http://www.dol.gov/ebsa/pdf/ACATechnicalRelease2010-01.pdf), and modified by Technical
Release 2011-02 on June 22, 2011 (available at http://www.dol.gov/ebsa/pdf/tr11-02.pdf).
You should consult these technical releases, as well as any amendments that the Department of
Labor makes to Technical Release 2010-01 (as modified by Technical Release 2011-02) in the
future. These releases will be available at www.dol.gov/ebsa/healthreform.
For any questions regarding the private-accredited IRO process, please contact the Employee
Benefits Security Administration’s Office of Health Plan Standards and Compliance Assistance
at 202-693-8335.
Thank you very much,

Ellen Kuhn
Director, Appeals Division
Consumer Support Group
Center for Consumer Information and Insurance Oversight
Centers for Medicare and Medicaid Services
U.S. Department of Health and Human Services

OMB Control Number 0938-1099