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  2. U.S. State Codes
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  4. Ohio
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  6. Title [39] XXXIX INSURANCE
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  8. Chapter 3922 - EXTERNAL REVIEW


Chapter 3922 - EXTERNAL REVIEW


  • Section 3922.01 - Definitions.
  • Section 3922.02 - Request for review of adverse benefit determination.
  • Section 3922.03 - Internal appeal processes; review of final determination.
  • Section 3922.04 - Exhaustion of issuer's internal appeal process.
  • Section 3922.05 - Opportunities for external review by independent review organization.
  • Section 3922.06 - Reconsideration by issuer.
  • Section 3922.07 - Information considered for review.
  • Section 3922.08 - Provisions applicable to standard reviews; Timing;.
  • Section 3922.09 - Request for expedited external review.
  • Section 3922.10 - Provisions applicable to external reviews involving experimental or investigational treatment; timing.
  • Section 3922.11 - Review by superintendent of insurance.
  • Section 3922.12 - Effect of decision.
  • Section 3922.13 - Accreditation of independent review organizations.
  • Section 3922.14 - Additional actions for accreditation.
  • Section 3922.15 - Qualifications for clinical reviewers.
  • Section 3922.16 - Construction of chapter; limitations on liability.
  • Section 3922.17 - Maintenance of records; reports.
  • Section 3922.18 - Payment of costs.
  • Section 3922.19 - Disclosure of external review procedures.
  • Section 3922.20 - Admissibility of written decision or medicare reimbursement standards.
  • Section 3922.21 - Confidentiality.
  • Section 3922.22 - Adoption of rules.
  • Section 3922.23 - Violation; Penalties.
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