Specifications include, but are not limited to: The external review organization is an entity that conducts Independent external reviews of adverse decision in accordance with K.S.A. 40-22a13(c), 40-22a15, K.A.R. 40-4-42c, and 40-4-42d. The external review organization shall be assigned matters for external review by the Kansas Insurance Commissioner and will tender a decision in accordance with K.S.A. 40-22a15, K.A.R. 40-4-42c, and KAR. 40-4-42d... "see below The external review organization shall have the minimum qualifications set out in K.S.A. 40-22a13(c), K.S.A. 40- 22a15 and K.A.R. 40-4-42e. The external review organization shall provide reports as required by K.S.A. 40- 22a15 and K.A.R. 40-4-42f. The external review organization shall adhere to applicable state and federal laws as to confidentiality of medical records. Kansas Licensure is not required for nurse support, but Kansas law requires that physician reviewer be "actively engaged In the practice of their profession In the State of Kansas who are qualified and credentialed with respect to the health care service review".