Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
< > Effective - 28 Aug 1997, 2 histories, see footnote (history)
376.1372. Certification and member handbook to include utilization review procedures. — 1. In the certificate of coverage and the member handbook provided to enrollees, a health carrier shall include a clear and comprehensive description of its utilization review procedures, including the procedures for obtaining review of adverse determinations, and a statement of rights and responsibilities of enrollees with respect to those procedures.
2. A health carrier shall include a summary of its utilization review procedures in material intended for prospective enrollees.
3. A health carrier shall print on its membership cards a toll-free telephone number to call for utilization review decisions.
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(L. 1997 H.B. 335)
---- end of effective 28 Aug 1997 ----
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| 376.1372 | 8/28/2019 | |||
| 376.1372 | 8/28/1997 | 8/28/2019 | ||
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