§ 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