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Initial registration for a new Medical Claims Review Agent can be completed electronically at www.sircon.com/Indiana or submitted by paper. The following items must be submitted in order to register as a Medical Claims Review Agent.
URAC accreditation does not waive any requirement for documentation submission.
If registering by paper, the completed application, application fee and supporting documentation should be sent to the following address:
Indiana Department of Insurance
Attn: Medical Claims Review
311 West Washington Street, Ste 300
Indianapolis, Indiana 46204
For any questions, contact Rebecca Vaughan at (317) 232-2187 or firstname.lastname@example.org