C-IDR | Independent Review Organization (IRO)
We are strengthening the confidence in independent medical review by delivering decisions that are clearer, more accurate, more consistent, and defensible. Our expert clinicians are supported by intelligent tools, rigorous compliance, and a level of transparency that reflects the highest expectations for the IRO industry.
The future of IRO built today
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Intelligent Credentialing
Our credentialing engine automates state, board, and OIG primary-source verification, sanction checks, and document tracking. Clinicians’ CVs are pre-processed to prefill credentialing fields, speeding onboarding while maintaining full compliance.
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Automated Case File Indexing
Hundreds of pages of medical records are automatically indexed and organized into a clean, structured format, giving reviewers an immediate, navigable view of the full case file.
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Complete Clinical History Synthesis
The system synthesizes a patient’s entire clinical history, highlighting key facts, timelines, and evidence with links to original source documents, so reviewers can understand the case without digging through thousands of lines of notes.
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AI Evidence Support for Determinations
Reviewers receive relevant guidelines, peer-reviewed research, and clinical trials , including evidence supporting or challenging the determination, while physicians remaining fully responsible for the final decision.
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Modern, Secure Case Management System
Our platform is intuitive, reliable, and fully state compliant. It reduces errors, supports structured workflows, maintains full audit trails, and enables reviewers to produce consistent, high-quality determinations.
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Traceability and Accountability
Every action, decision point, and communication is automatically recorded, creating a complete audit trail for transparency and defensibility for every case.
URAC Accreditation
URAC’s Independent Review Organization (IRO) accreditation is the national gold standard for ensuring fairness, consistency, and quality in external medical review. It establishes rigorous requirements for reviewer credentialing, quality oversight, timeliness, confidentiality, and independence.
C-IDR is now URAC-accredited as an Independent Review Organization (IRO).
We are also currently pursuing URAC Artificial Intelligence in Health Care Accreditation to further validate that our AI systems, governance, and use of technology meet leading standards for safety, accuracy, and fairness.
Compliance you can trust
C-IDR’s compliance foundation is built for trust. We are URAC-accredited as an Independent Review Organization, are pursuing URAC AI Healthcare Accreditation, and maintain an environment aligned with HITRUST, SOC 2 Type II, HIPAA, and other key regulatory expectations. Our systems, processes, and data environment are audited and designed to meet and exceed federal and state requirements.
SOC 2 Type II Attested
AI & Cybersecurity Committee
Legislative & Regulatory Committee