41-5902. PURPOSE AND INTENT. The purpose of this chapter is to provide uniform standards for the establishment and maintenance of external review procedures to assure that covered persons have the opportunity for an independent review of a final adverse benefit determination, as defined in this chapter.
History:
[41-5902, added 2009, ch. 87, sec. 1, p. 240.]
Structure Idaho Code
Chapter 59 - IDAHO HEALTH CARRIER EXTERNAL REVIEW ACT
Section 41-5901 - SHORT TITLE.
Section 41-5902 - PURPOSE AND INTENT.
Section 41-5903 - DEFINITIONS.
Section 41-5904 - APPLICABILITY AND SCOPE.
Section 41-5905 - NOTICE OF RIGHT TO EXTERNAL REVIEW.
Section 41-5906 - REQUEST FOR EXTERNAL REVIEW.
Section 41-5907 - EXHAUSTION OF INTERNAL GRIEVANCE PROCESS.
Section 41-5908 - STANDARD EXTERNAL REVIEW.
Section 41-5909 - EXPEDITED EXTERNAL REVIEW.
Section 41-5910 - BINDING NATURE OF EXTERNAL REVIEW DECISION.
Section 41-5911 - APPROVAL OF INDEPENDENT REVIEW ORGANIZATIONS.
Section 41-5912 - MINIMUM QUALIFICATIONS FOR INDEPENDENT REVIEW ORGANIZATIONS.
Section 41-5913 - HOLD HARMLESS FOR INDEPENDENT REVIEW ORGANIZATIONS.
Section 41-5914 - EXTERNAL REVIEW REPORTING REQUIREMENTS.
Section 41-5915 - FUNDING OF EXTERNAL REVIEW.