Chapter 3922 - EXTERNAL REVIEW
- Section 3922.01 - Definitions
- Section 3922.02 - Request for review of adverse benefit determination
- Section 3922.03 - Internal appeal processes; review of final determination
- Section 3922.04 - Exhaustion of issuer's internal appeal process
- Section 3922.05 - Opportunities for external review by independent review organization
- Section 3922.06 - Reconsideration by issuer
- Section 3922.07 - Information considered for review
- Section 3922.08 - Provisions applicable to standard reviews; Timing;
- Section 3922.09 - Request for expedited external review
- Section 3922.10 - Provisions applicable to external reviews involving experimental or investigational treatment; timing
- Section 3922.11 - Review by superintendent of insurance
- Section 3922.12 - Effect of decision
- Section 3922.13 - Accreditation of independent review organizations
- Section 3922.14 - Additional actions for accreditation
- Section 3922.15 - Qualifications for clinical reviewers
- Section 3922.16 - Construction of chapter; limitations on liability
- Section 3922.17 - Maintenance of records; reports
- Section 3922.18 - Payment of costs
- Section 3922.19 - Disclosure of external review procedures
- Section 3922.20 - Admissibility of written decision or medicare reimbursement standards
- Section 3922.21 - Confidentiality
- Section 3922.22 - Adoption of rules
- Section 3922.23 - Violation; Penalties