Internal Review and Independent Utilization Review of Health Insurance Claims
- Section 1301-1.0 - Purpose and Statutory Authority
- Section 1301-2.0 - Definitions
- Section 1301-3.0 - Minimum Requirements for an Internal Review Process (IRP)
- Section 1301-4.0 - Notice Requirements for Appeal of a Carrier's Final Coverage Decision
- Section 1301-5.0 - IHCAP Procedure
- Section 1301-6.0 - Expedited IHCAP Procedure
- Section 1301-7.0 - Refusal or Dismissal of IHCAP Appeal
- Section 1301-8.0 - IHCAP Costs
- Section 1301-9.0 - Approval of Independent Utilization Review Organizations
- Section 1301-10.0 - Recordkeeping and Reporting Requirements
- Section 1301-11.0 - Non-Retaliation
- Section 1301-12.0 - Confidentiality of Health Information
- Section 1301-13.0 - Computation of Time
- Section 1301-14.0 - Effective Date
- Section 1301-15.0 - Repealed
- Section 1301-16.0 - Repealed