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Mississippi Administrative Code
Title 19
29
Part 3
Chapter 15
19 Miss. Code R. 3-15
Mississippi Health Carrier External Review Regulation
MISSISSIPPI DEPARTMENT OF INSURANCE
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15.01
Purpose and Intent
15.02
Definitions
15.03
Applicability and Scope
15.04
Notice of Right to External Review
15.05
Request for External Review
15.06
Exhaustion of Internal Grievance Process
15.07
Standard External Review
15.08
Expedited External Review
15.09
External Review of Experimental or Investigational Treatment Adverse
15.10
Binding Nature of External Review Decision
15.11
Approval of Independent Review Organizations
15.12
Minimum Qualifications for Independent Review Organizations
15.11
of this Regulation
15.13
Hold Harmless for Independent Review Organization
15.14
External Review Reporting Requirements
15.15
Funding of External Review
15.16
Disclosure Requirements
15.17
Filing of Forms
15.18
Severability
15.19
Effective Date
15.20
Appendix A – Notice of Appeal Rights
15.21
Appendix B – External Review Request Form
15.22
Appendix C – Independent Review Organization External Review Annual
15.23
Appendix D – Health Carrier External Review Annual Report Form