33-32-401. Purpose. The purpose of this part is to provide uniform standards for the establishment and maintenance of external review procedures to ensure that covered persons have the opportunity for an independent review of an adverse determination or a final adverse determination.
History: En. Sec. 17, Ch. 428, L. 2015.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 32. Health Utilization Review
33-32-402. Definitions for external review
33-32-403. Notice of right to external review
33-32-404. Request for external review
33-32-405. Exhaustion of internal grievance process
33-32-406. through 33-32-409 reserved
33-32-410. Standard external review
33-32-411. Expedited external review
33-32-413. and 33-32-414 reserved
33-32-415. Binding nature of external review decisions
33-32-416. Approval of independent review organizations -- renewal
33-32-417. Minimum qualifications for independent review organizations
33-32-418. Liability limits for independent review organization
33-32-421. External review reporting requirements