Search Results
Federal Law
11/18/2024
45 CFR Section 147.136
Internal claims and appeals and external review processes
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines
Federal Law
11/21/2024
42 USC Section 300gg-19
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines
Federal Law
11/21/2024
29 CFR Section 2560.503-1
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, Preemption-ERISA
Ama Policy
08/29/2023
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, Step Therapy Override, U.R. Criteria
Federal Law
11/18/2024
26 CFR Sections 54.9815-2719 and 54.9815-2719T
Internal claims and appeals and external review processes; Internal claims and appeals and external review processes (temporary)
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines
State Law
08/01/2023
Florida
Section 641.511
Subscriber grievance reporting and resolution requirements.
ERISA-Med. Nec. Appeals-Deadlines, State Medical Necessity Appeals-Deadlines
State Law
08/15/2023
North Dakota
Section 26.1-36-47
Internal claims and appeals procedures
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law
08/15/2023
North Dakota
Section 26.1-26.4-04
Minimum standards of utilization review agents
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law
08/25/2023
Utah
Section R590-203-5
Adverse Benefit Determination
ERISA-Med. Nec. Appeals-Deadlines, Medical Necessity-Definition, State Medical Necessity Appeals-Deadlines
