EXTERNAL REVIEW OF ADVERSE DETERMINATION
- Section 695G.241 - Circumstances under which adverse determination may be subject to external review; exceptions
- Section 695G.243 - Applicability
- Section 695G.245 - Written notice of right to request external review; form; contents
- Section 695G.247 - Requests for external review to be in writing; exception; form and content
- Section 695G.251 - Request for review; assignment of independent review organization; provision of documents relating to adverse determination to independent review organization
- Section 695G.261 - Review of documents by independent review organization; decision of independent review organization
- Section 695G.271 - Expedited approval or denial of request
- Section 695G.275 - Experimental or investigational health care service or treatment: Request for external review; request for expedited external review
- Section 695G.280 - Basis for decision of independent review organization
- Section 695G.290 - Decision in favor of covered person binding on health carrier; limitation of liability; cost for independent review organization
- Section 695G.300 - Submission of complaint of covered person to independent review organization
- Section 695G.303 - Independent review organization and health carrier required to maintain written records; submission of report upon request
- Section 695G.307 - Health carrier required to provide description of external review procedures; format; contents
- Section 695G.310 - Annual report; requirements