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| § 3922.01 |
Definitions |
| § 3922.02 |
Request for review of adverse benefit determination |
| § 3922.03 |
Internal appeal processes; review of final determination |
| § 3922.04 |
Exhaustion of issuer’s internal appeal process |
| § 3922.05 |
Opportunities for external review by independent review organization |
| § 3922.06 |
Reconsideration by issuer |
| § 3922.07 |
Information considered for review |
| § 3922.08 |
Provisions applicable to standard reviews; Timing; |
| § 3922.09 |
Request for expedited external review |
| § 3922.10 |
Provisions applicable to external reviews involving experimental or investigational treatment; timing |
| § 3922.11 |
Review by superintendent of insurance |
| § 3922.12 |
Effect of decision |
| § 3922.13 |
Accreditation of independent review organizations |
| § 3922.14 |
Additional actions for accreditation |
| § 3922.15 |
Qualifications for clinical reviewers |
| § 3922.16 |
Construction of chapter; limitations on liability |
| § 3922.17 |
Maintenance of records; reports |
| § 3922.18 |
Payment of costs |
| § 3922.19 |
Disclosure of external review procedures |
| § 3922.20 |
Admissibility of written decision or medicare reimbursement standards |
| § 3922.21 |
Confidentiality |
| § 3922.22 |
Adoption of rules |
| § 3922.23 |
Violation; Penalties |
