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The Nebraska Independent Review Organization license

Independent Review Organization

Decides the appeal when a health carrier says no and the member will not accept it. The director approves it rather than examining it, and what he is approving is an accreditation somebody else gave.

Course

None

This license has no pre-licensing course route.

Ways in

1

There is no state exam for this license.

Exam

n/a

Not required on any of the routes below.

Every way to qualify

  1. Route 1 Hold the accreditation, then apply for approval

    No state exam for this license

    The accreditation

    • Accreditation by a nationally recognized private accrediting entity whose independent review organization standards the director has determined are equivalent to or exceed the minimum qualifications at Neb. Rev. Stat. 44-1313. The director may approve an unaccredited organization only where there is no acceptable accrediting entity to be accredited by.

    and the application

    • The Department's application form with all the documentation and information the director needs to decide whether the minimum qualifications at 44-1313 are met, including the independence and conflict of interest provisions that stop a reviewer deciding a case it has an interest in.

    and the fee

    • $100 for the license and $100 on each renewal on the Department's schedule; 44-1312(4)(c) lets the director charge an application fee.

    Neb. Rev. Stat. 44-1312, inside the Health Carrier External Review Act, with 210 NAC 87 as the Director's rule. There is no examination and no course: the qualification is an accreditation and a set of independence findings. It is the same shape as the utilization review agent's certificate two acts away, and Nebraska is one of the few states that licenses both halves of the argument, the agent who denies the care and the organization that reviews the denial.

    Read at nebraskalegislature.gov on 2026-08-20

No national seller sells a course for this license. Aceable does not sell Nebraska at all. There is no examination and no course: the qualification is accreditation by a nationally recognized private accrediting entity, which is not something a course seller supplies.