P.R. Laws tit. 24, § 7036
2019-02-20 00:00:00+00
The Administration shall require insurers, providers, and health service organizations with whom it contracts to establish the procedures to handle and resolve complaints from the participating providers and the beneficiaries.
The Administration shall establish guidelines for the resolution of complaints which shall guarantee due process of law. The findings made regarding these complaints shall be appealable before the Administration, as provided by regulations or the signed contract. The final findings of the Administration shall be reviewable by the Court of Appeals.
History —Sept. 7, 1993, No. 72, Art. VI, § 12, renumbered as § 10 on Dec. 29, 2000, No. 463, § 9; July 19, 2002, No. 105, § 4; Aug. 8, 2010, No. 123, § 10.