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External Review | Midpage
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Ohio Revised Code
Title 39
Chapter 3922
External Review
3922.01
Definitions
3922.02
Request for review of adverse benefit determination
3922.03
Internal appeal processes; review of final determination
3922.04
Exhaustion of issuer's internal appeal process
3922.05
Opportunities for external review by independent review organization
3922.06
Reconsideration by issuer
3922.07
Information considered for review
3922.08
Provisions applicable to standard reviews; Timing;
3922.09
Request for expedited external review
3922.10
Provisions applicable to external reviews involving experimental or investigational treatment; timing
3922.11
Review by superintendent of insurance
3922.12
Effect of decision
3922.13
Accreditation of independent review organizations
3922.14
Additional actions for accreditation
3922.15
Qualifications for clinical reviewers
3922.16
Construction of chapter; limitations on liability
3922.17
Maintenance of records; reports
3922.18
Payment of costs
3922.19
Disclosure of external review procedures
3922.20
Admissibility of written decision or medicare reimbursement standards
3922.21
Confidentiality
3922.22
Adoption of rules
3922.23
Violation; Penalties