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