The purpose of this chapter is to provide standards for the establishment and maintenance of external review procedures that shall govern in Puerto Rico, to assure that covered persons or enrollees have the opportunity for an independent review of an adverse determination or final adverse determination by health insurance organizations or issuers.
History —Aug. 29, 2011, No. 194, added as § 28.020 on Aug. 23, 2012, No. 203, § 7, eff. 90 days after Aug. 23, 2012.