Medical Necessity Review Organizations (MNRO)- RS.22:1121
MNRO Annual Summary Report 2009 - Directions
MNRO Annual Summary Report 2009 Spreadsheet
General Complaint Form (Instructions included)
Independent Review Organizations Application
Medical Necessity Review Organizations Application (PDF version)
NAIC Biographical Affidavit Form
Timely Payment of Claims - RS.22:1831
Provider/Consumer Complaint Form (Instructions Included)
Provider Multiple Complaint Form Instructions
Provider Multiple Complaint Form Part I & II
Provider Multiple Complaint SpreadSheet for Claims with Dates of Service 12/31/05 and Before
Interest Calculator for Claims with Dates of Service 12/31/2005 and Before
Provider Multiple Complaint SpreadSheet for Claims with Dates of Service 01/01/06 and After
Interest Calculator for Claims with Dates of Service 01/01/2006 and After
Physician's Credentialing Form - RS.22:1009
Physician's Credentialing Form
CAQH Credentialing Application
Federal Regulations:
Frequently Asked Questions: