EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS

  1. Law
  2. Iowa Code
  3. COMMERCE
  4. EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS

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Section
514J.1

Legislative intent.

Section
514J.2

Definitions.

Section
514J.3

Exclusions.

Section
514J.3A

Notice.

Section
514J.4

External review request — fee.

Section
514J.5

Certification of request — eligibility.

Section
514J.6

Independent review entities.

Section
514J.7

External review.

Section
514J.8

Expedited review.

Section
514J.9

Funding.

Section
514J.10

Reporting.

Section
514J.11

Immunity.

Section
514J.12

Standard of review.

Section
514J.13

Effect of external review decision.

Section
514J.14

Rules.

Section
514J.15

Penalties.

Section
514J.101

Purpose — applicability.

Section
514J.102

Definitions.

Section
514J.103

Applicability and scope.

Section
514J.104

Notice of right to external review.

Section
514J.105

Request for external review.

Section
514J.106

Exhaustion of internal grievance process — exceptions — expedited external review request.

Section
514J.107

External review — standard.

Section
514J.108

External review — expedited.

Section
514J.109

External review of experimental or investigational treatment adverse determinations.

Section
514J.110

Effect of external review decision.

Section
514J.111

Approval of independent review organizations.

Section
514J.112

Minimum qualifications for independent review organizations.

Section
514J.113

Immunity for independent review organizations.

Section
514J.114

External review reporting requirements.

Section
514J.115

Expenses of external review.

Section
514J.116

Disclosure requirements.

Section
514J.117

Rulemaking authority.

Section
514J.118

Severability.

Section
514J.119

Penalties.

Section
514J.120

Applicability.