Regulation Regulation 4-2-17 - PROMPT INVESTIGATION OF HEALTH CLAIMS INVOLVING UTILIZATION REVIEW AND DENIAL OF BENEFITS AND RULES RELATED TO INTERNAL CLAIMS AND APPEALS PROCESSES
- Section 3 CCR 702-4-2-17-1 - Authority
- Section 3 CCR 702-4-2-17-2 - Scope and Purpose
- Section 3 CCR 702-4-2-17-3 - Applicability
- Section 3 CCR 702-4-2-17-4 - Definitions
- Section 3 CCR 702-4-2-17-5 - Compliance Requirements
- Section 3 CCR 702-4-2-17-6 - Form and Manner of Notices
- Section 3 CCR 702-4-2-17-7 - Standard Utilization Review
- Section 3 CCR 702-4-2-17-8 - Expedited Utilization Review
- Section 3 CCR 702-4-2-17-9 - Emergency Services
- Section 3 CCR 702-4-2-17-10 - Peer-to-Peer Conversation
- Section 3 CCR 702-4-2-17-11 - First Level Review
- Section 3 CCR 702-4-2-17-12 - General Requirements for First Level and Voluntary Second Level Review Meetings
- Section 3 CCR 702-4-2-17-13 - Expedited Review of an Adverse Determination
- Section 3 CCR 702-4-2-17-14 - Rescission and Initial Eligibility Determinations
- Section 3 CCR 702-4-2-17-15 - Severability
- Section 3 CCR 702-4-2-17-16 - Enforcement
- Section 3 CCR 702-4-2-17-17 - Effective Date
- Section 3 CCR 702-4-2-17-18 - History