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PRIRA Orders

This page contains official orders issued by the Michigan Department of Insurance and Financial Services (DIFS) under the Patient’s Right to Independent Review Act (PRIRA).

PRIRA orders are formal determinations related to external reviews of adverse health insurance coverage decisions.

Each PRIRA order is provided as a PDF document and includes detailed information about the:

  • Health plan involved
  • Medical service or treatment in question
  • Health care benefits under the certificate of coverage
  • Independent review organization’s findings, if applicable
  • A determination from the Director to reverse or uphold the health insurer’s decision

You can search and filter PRIRA orders by year and month. The PRIRA orders below reflect the most recent decisions available. For earlier orders, please view our PRIRA archives .