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§ 56-61-101 |
Short title – Purpose |
§ 56-61-102 |
Chapter definitions |
§ 56-61-103 |
Applicability and scope |
§ 56-61-104 |
No limitations or restrictions on denying coverage of services not medically necessary |
§ 56-61-105 |
Maintenance of register of written records to document grievances |
§ 56-61-106 |
Written procedures for grievances |
§ 56-61-107 |
First level review of adverse determination |
§ 56-61-108 |
Second level review of adverse determination |
§ 56-61-109 |
Establishment of written procedures for expedited review of urgent care requests of grievances involving adverse determination |
§ 56-61-110 |
Rules and regulations |
§ 56-61-111 |
Penalties for violations |
§ 56-61-112 |
Elections for conducting external review program |
§ 56-61-113 |
Notice of right to external review |
§ 56-61-114 |
Request for external review |
§ 56-61-115 |
Exhaustion of internal grievance process |
§ 56-61-116 |
Standard external review |
§ 56-61-117 |
Expedited external review |
§ 56-61-118 |
Requests for external review when service or treatment determined to be investigational |
§ 56-61-119 |
Binding nature of external review decisions |
§ 56-61-120 |
Approval of external review organizations |
§ 56-61-121 |
Minimum qualifications for independent review organizations |
§ 56-61-122 |
Hold harmless for external review organizations |
§ 56-61-123 |
External review reporting requirements |
§ 56-61-124 |
Funding of external review |
§ 56-61-125 |
Disclosure requirements |