External Review of Health Care Coverage Decisions | Midpage

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Alaska Administrative Code

Article 13

External Review of Health Care Coverage Decisions

3.28.950Applicability 3.28.952Notice of right to external review 3.28.954Request for external review 3.28.956Exhaustion of internal grievance process 3.28.958Standard external review 3.28.960Expedited external review 3.28.962External review of experimental or investigational treatment adverse determinations 3.28.964Declination of external review assignment by the independent review organization 3.28.966Binding nature of external review decision 3.28.968Term of initial independent review organization registration period; renewal 3.28.970Approval of independent review organizations; registration 3.28.972Examination; suspension or revocation of registration 3.28.974Minimum qualifications for independent review organizations 3.28.976Immunity for independent review organizations 3.28.978External review reporting requirements 3.28.980Funding of external review 3.28.982Disclosure requirements