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Indiana Department of Insurance

IDOI > Company/Entity Financial Compliance > Other Entities Initial Registration Requirements > Medical Claims Review Medical Claims Review

Application Requirements for Registration of Medical Claims Review Agent under I.C.27-8-16 et.seq and IAC 760:1-49 are provided by IDOI. 

To register as a medical claims review agent, please submit the following. Number each item in the upper right-hand corner to correspond with its number in this Schedule of Requirements.

URAC accreditation does not waive any requirement for documentation submission.

  •  Application fee of $150.

For any questions, contact Rebecca Vaughan at (317) 232-2187 or

The completed application and information requested above should be sent to the following:

Indiana Department of Insurance
Attn: Medical Claims Review
311 West Washington Street, Ste 300
Indianapolis, Indiana 46204