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Ohio Revised Code

Chapter 3922

External Review

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