§432E-37 Binding nature of external review decision. (a) An external review decision shall be binding on the health carrier and the enrollee except to the extent that the health carrier or the enrollee has other remedies available under applicable federal or state law.
(b) An enrollee or the enrollee's appointed representative shall not file a subsequent request for external review involving the same adverse action for which the enrollee has already received an external review decision pursuant to this part. [L 2011, c 230, pt of §2]
Structure Hawaii Revised Statutes
432E. Patients' Bill of Rights and Responsibilities Act
432E-1.5 Licensure of managed care plan medical directors.
432E-2 Conflict with other laws.
432E-4 Enrollee participation in treatment decisions.
432E-5 Complaints and appeals procedure for enrollees.
432E-6.5 Expedited internal appeal, when authorized; standard for decision.
432E-7 Information to enrollees.
432E-10 Managed care plan performance measurement and data reporting standards.
432E-11 Accreditation of managed care plans.
432E-31 Applicability and scope.
432E-32 Notice of right to external review.
432E-33 Request for external review.
432E-34 Standard external review.
432E-35 Expedited external review.
432E-36 External review of experimental or investigational treatment adverse determinations.
432E-37 Binding nature of external review decision.
432E-38 Approval of independent review organizations.
432E-39 Minimum qualifications for independent review organizations.
432E-40 Hold harmless for independent review organizations.
432E-41 External review reporting requirements.
432E-42 Funding of external review.