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Utah Admin. Code R590-261 – Health Benefit Plan Adverse Benefit Determinations | Midpage
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Utah Administrative Code
Title 590
Rule 261
Utah Admin. Code R590-261
Health Benefit Plan Adverse Benefit Determinations
Effective Aug 27, 2025
Insurance
1
Authority
2
Purpose and Scope
3
Definitions
4
Adverse Benefit Determination Procedure Compliance
5
Notice of Right to Independent Review
6
Exhaustion of Internal Review Process
7
Independent Review Organizations
8
General Independent Review Requirements
9
Standard Independent Review
10
Expedited Independent Review
11
Independent Review of Experimental or Investigational Service or Treatment
12
Non-Formulary Drug Exception Process
13
Disclosure Requirements
14
Records
15
Severability