Search Results
Federal Law
12/11/2022
45 CFR 147.136
Internal claims and appeals and external review processes
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines
Federal Law
12/08/2020
42 USC Section 300gg-19
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines
Federal Law
12/11/2022
29 CFR 2560.503-1
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, Preemption-ERISA
Ama Policy
10/15/2019
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
12/11/2022
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
06/23/2020
Florida
Section 641.511
Subscriber grievance reporting and resolution requirements.
ERISA-Med. Nec. Appeals-Deadlines, State Medical Necessity Appeals-Deadlines
State Law
07/23/2020
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
07/23/2020
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
08/26/2022
Utah
Section R590-203-5
Adverse Benefit Determination
ERISA-Med. Nec. Appeals-Deadlines, State Medical Necessity Appeals-Deadlines
