This version of the form is not currently in use and is provided for reference only. Download this version of Form HIPMC-IRE-1 for the current year.
This is a legal form that was released by the Kentucky Department of Insurance - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the HIPMC-IRE-1 form?
A: The HIPMC-IRE-1 form is the Application for Certification of an Independent Review Entity in Kentucky.
Q: Who needs to fill out the HIPMC-IRE-1 form?
A: The HIPMC-IRE-1 form needs to be filled out by those applying for certification as an Independent Review Entity in Kentucky.
Q: What is the purpose of the HIPMC-IRE-1 form?
A: The purpose of the HIPMC-IRE-1 form is to apply for certification as an Independent Review Entity in Kentucky.
Form Details:
Download a printable version of Form HIPMC-IRE-1 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.