41-5906. REQUEST FOR EXTERNAL REVIEW. A covered person may make a request for an external review of a final adverse benefit determination. Except for a request for an expedited external review as set forth in section 41-5909, Idaho Code, all requests for external review shall be made in writing to the director. The director may prescribe by rule the form and content of external review requests required to be submitted under this section.
History:
[41-5906, added 2009, ch. 87, sec. 1, p. 246; am. 2011, ch. 122, sec. 4, p. 339.]
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.