What is an Independent Review Organization (IRO)?
An IRO provides impartial clinical review of utilization and medical necessity decisions — separate from the health plan’s own medical staff — so determinations rest on the clinical record and applicable standards of care.
A longer plain-language explanation is on the What is an IRO page. It is educational, not legal advice, and it does not describe ArkMedis as a certified IRO.
What is an IRO?
Who does ArkMedis serve?
Health plans, TPAs, and self-funded employers across the U.S. We are open to conversations with government and program partners. We do not currently market PBM or LTD review as active offerings.
Persona pages cover health plans, TPAs, self-funded employers, and clinicians. There is no government-programs page and no claim of current public contracts.
Who we serve · Health plans
How is PHI handled today?
Do not send PHI by email or fax. Workspace and Google Cloud HIPAA BAAs are held. Authorized portal users can upload a case file after MFA (verified email and a second factor). ArkMedis will review submitted cases after Texas Department of Insurance Independent Review Organization certification is issued. The application is in process. Certification is not active.
Use the workspace after sign-in. Download of stored files is not available yet. Contact remains the path for non-PHI introductions.
Security & Trust · Portal
What does “Texas TDI IRO applicant” mean?
ArkMedis is on the Texas Department of Insurance Independent Review Organization certification pathway. We do not claim “certified IRO” status until certification is actually held.
Houston is the primary office. ArkMedis is a national IRO. Texas status is applicant only. We do not describe the organization as certified, and we do not claim other state external-review licenses.
About
How do you match specialties?
We route cases to clinicians whose specialty aligns with the clinical question. Coverage is building nationwide under Medical Director oversight — we do not invent panel size or a finished specialty list.
As of September 2026, Internal Medicine is Available. Other specialties are Building. See the specialties page for the dated matrix. We do not publish a reviewer headcount.
Specialties
How do you protect independence?
Physician ownership, MD Medical Director accountability, documented conflict-of-interest screening, and written rationale on every determination — free from volume targets or outcome incentives.
The review path is intake, conflict-of-interest screening, clinical review, quality assurance, written determination, and delivery. See How we work.
How we work
How do we start an engagement?
Start with Contact for non-PHI partnership and operational setup. Authorized users upload case PHI only through the portal after MFA. ArkMedis will review those files after TDI Independent Review Organization certification is issued. Certification is not active.
Contact is still the path for introductions, reviewer interest, and a request for a redacted sample.
Contact (non-PHI)
Do you publish turnaround guarantees?
No. Standard and rush handling are process choices confirmed at intake for each engagement. We do not publish hour counts, day guarantees, completion percentages, or volume statistics.
Does ArkMedis claim URAC, HITRUST, NCQA, NAIRO, or SOC 2?
No. We do not display those seals. Holding a Google Cloud or Workspace HIPAA BAA is not an accreditation. Texas TDI IRO status is applicant only until certification is held.
Do you review workers’ compensation, IME, PBM, LTD, or federal IDR cases?
No. Those are not current ArkMedis products. We do not publish pages for workers’ compensation review, independent medical examinations, PBM review, LTD review, payment integrity, or CMS independent dispute resolution.
Medical necessity · Appeals support
Is the portal accepting records?
Yes, for authorized users. Sign in with MFA (verified email and a second factor) and a Business, Provider, or Admin role, then upload from the workspace. ArkMedis will review submitted cases after TDI Independent Review Organization certification is issued. The application is in process. Certification is not active. Do not send PHI by email or fax. Download is not available yet.
A sign-in form appears when this deployment has Identity Platform configuration. There is no public registration. Audit events are structured stdout logs, not a retention-backed audit program.
Portal
How can a clinician ask about review work?
Use Contact and keep the note non-PHI. Specialty and license state are enough to start. NPI is optional — leave it blank. Do not include patient information or case records. The reviewer network is building; Internal Medicine is the specialty we can staff today.
Clinicians and reviewers