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Division of Insurance
Utilization Review Organization (URO)
A Utilization Review Organization (URO) is an entity that conducts utilization review, which includes using formal techniques to monitor and evaluate the medical necessity, appropriateness and efficiency of health care services and procedures.
UROs are required to register with the Division before conducting business in South Dakota. The application for a URO should be completed through National Insurance Producers Registry (NIPR) with supporting documentation to be submitted via the NIPR Attachment Warehouse. See the URO Registration Requirements for additional information.
Each registered URO must file an annual renewal on or before July first of each year. Failure to file a renewal will result in lapsing of the registration.
Utilization Review Organization Listing
Licensure of a specific entity can be verified through SBS License Look Up Search.