Independent Review Organization (IRO) and External Medical Review (EMR) Provider Training

March 15, 2022

The Texas Health and Human Service (HHSC) has notified Blue Cross and Blue Shield of Texas (BCBSTX) of a requirement for providers.

What’s New

We were informed on February 28, 2022, by HHSC, that providers are required to complete the Independent Review Organization (IRO) and External Medical Review (EMR) training and submit an attestation to us by April 15, 2022.

Obtain the EMR training here.

Note:  The IRO will receive the Provider and Invoice Training, attestation, and IRO Invoice Checklist via an email from HHSC.

Audible Training

HHSC has given an option to obtain audible training for both sessions by Terri Frazier M.Ed., C.T.C.M., Senior Manager of Complex Services (HHSC) verbally reviewing each of the slides. Should you prefer to listen to someone else read the information to you:

Recordings:

Attestation Notification

Once you have completed both trainings, you are required to attest the completion of this training to BCBSTX.

You must submit your attestation notification to our Network Provider email with the following information:

  • Provider or Group Name
  • Tax Id

Questions

For questions or additional information, please: