Subpart 98-2 - External Appeals Of Adverse Determinations
- Section 98-2.1 - Preamble
- Section 98-2.2 - Definitions
- Section 98-2.3 - Standard description of the external appeal process
- Section 98-2.4 - Certification of external appeal agents
- Section 98-2.5 - Certification requirements
- Section 98-2.6 - Conflict of interest
- Section 98-2.7 - Screening of requests for external appeal
- Section 98-2.8 - Random assignment of external appeals
- Section 98-2.9 - Responsibilities of health care plans
- Section 98-2.10 - Responsibilities of certified external appeal agents
- Section 98-2.11 - Enrollee rights and responsibilities
- Section 98-2.12 - Confidentiality
- Section 98-2.13 - Audits and examinations