Article 13 - HEALTH CARRIER EXTERNAL REVIEW ACT
- Section 44-1301 - Act, how cited
- Section 44-1302 - Purpose of act
- Section 44-1303 - Terms, defined
- Section 44-1304 - Applicability of act
- Section 44-1305 - Health carrier; covered person; notification; when; written notice; contents; health carrier; duties
- Section 44-1306 - Request for external review
- Section 44-1307 - Request for external review; exhaustion of internal grievance process; request for expedited external review of adverse determination; independent review organization; duties
- Section 44-1308 - Request for external review; filing; director; duties; health carrier; duties; preliminary review; contents; director; powers; notice of initial determination; contents; independent review organization; powers; duties; decision; notice; contents
- Section 44-1309 - Request for expedited external review; director; duties; health carrier; duties; notice of initial determination; contents; expedited external review; independent review organization; powers; duties; decision; notice; contents
- Section 44-1310 - Review of denial of coverage for service or coverage determined experimental or investigational; external review; expedited external review; director; duties; health carrier; duties; notice of initial determination; contents; appeal; clinical reviewer; duties; independent review organization; powers; duties; decision; notice; contents
- Section 44-1311 - External review decision; how treated; limitation on subsequent request
- Section 44-1312 - Independent review organizations; approval; qualifications; application; contents; fee; termination of approval; director; powers and duties
- Section 44-1313 - Independent review organization; minimum qualifications; clinical reviewers; qualifications; limitation on ownership or control; conflict of interests; presumption of compliance; director; powers; duties
- Section 44-1314 - Liability for damages
- Section 44-1315 - Records; report; contents
- Section 44-1316 - Health carrier; cost
- Section 44-1317 - Health carrier; disclosure; format; contents
- Section 44-1318 - Applicability of act