Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376 Life, Health and Accident Insurance
376.1350
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Definitions. (8/28/2019) |
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376.1353
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Utilization review activities monitored. (8/28/1997) |
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376.1356
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Utilization review entity monitored, when. (8/28/2019) |
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376.1359
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Written utilization program implemented, filed with the director. (8/28/1997) |
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376.1361
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Documented clinical review criteria used in a utilization program — medical ... (8/28/1997) |
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376.1363
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Utilization review decisions, procedures. (8/28/2019) |
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376.1364
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Unique confirmation number required, prior authorization review — secure ... (8/28/2019) |
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376.1365
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Reconsideration of an adverse determination, when. (8/28/1997) |
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376.1367
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Emergency services benefit determination, coverage required, when. (8/28/2018) |
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376.1369
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Certification of compliance, when. (8/28/1997) |
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376.1372
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Certification and member handbook to include utilization review procedures ... (8/28/2019) |
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376.1375
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Registry of grievances maintained, procedures — definitions. (8/28/1997) |
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376.1378
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Grievances and certificate of compliance filed with the director, when. (8/28/1997) |
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376.1382
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First- and second-level grievance review for managed care plans, ... (8/28/1997) |
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376.1385
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Second-level review procedures. (8/28/2019) |
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376.1387
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Appeals of grievances determined by the director. (8/28/1997) |
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376.1389
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Expedited grievance review procedure. (8/28/1997) |
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