Quality Assurance Division

Quality Assurance Mission

Medical Necessity Review Organizations (MNRO)- RS.22:3070

General Complaint Form (Instructions included)

Independent Review Organizations Application

Medical Necessity Review Organizations Application (PDF version)

Licensed MNRO's in Louisiana

Certified IRO's in Louisiana

NAIC Biographical Affidavit Form

Timely Payment of Claims - RS.22:250.31

Claims Payment Addresses

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.22:11.1

Physician's Credentialing Form

CAQH Credentialing Application

Federal Regulations:

Federal Register November 21, 2000 - Department of Labor's Rules and Regulations for Administration and Enforcements; Claims Procedure; Final Rule

Frequently Asked Questions:

MNRO

Timely Payment of Claims

Health Care Consumer Billing and Disclosure Protection Act