Chapter 17I - GRIEVANCE PROCEDURE
- Section 58-17I-1 - Definitions
- Section 58-17I-2 - Health benefit plan defined
- Section 58-17I-3 - Urgent care request defined
- Section 58-17I-4 - Register of grievances required-Information to be compiled-Maintenance
- Section 58-17I-5 - [Repealed]
- Section 58-17I-6 - Grievance procedures-Filing-Certificate of compliance-Contact information
- Section 58-17I-7 - Review of adverse determination-Time for filing-Designation and notice of reviewers-Scope of review
- Section 58-17I-8 - Rights of covered person or authorized representative on review-Access to documentation
- Section 58-17I-9 - Time for decision and notice-Calculation of time periods
- Section 58-17I-10 - Procedures for providing new or additional evidence
- Section 58-17I-11 - Issuance of decision-Required contents
- Section 58-17I-12 - Expedited review for adverse determinations involving urgent care requests-Appointment of peers for review
- Section 58-17I-13 - Transmission of necessary information for certain expedited reviews
- Section 58-17I-14 - Expedited review decision not initial determination for benefits-Notification-Time periods-Continuation of service involving concurrent review urgent care requests
- Section 58-17I-15 - Expedited review decision-Notification-Required contents
- Section 58-17I-16 - Promulgation of rules