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Complaint Process for Adverse Decisions or Grievances
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Complaint Process for Adverse Decisions or Grievances
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Section
15-10A-01
Definitions
Section
15-10A-01.1
Applicability
Section
15-10A-02
Internal grievance process
Section
15-10A-03
Review of grievance decision
Section
15-10A-04
Decisions -- Final decision; notice; hearing; remedies for noncompliance
Section
15-10A-05
Independent review organizations or medical experts
Section
15-10A-06
Quarterly reports by carrier to Commissioner; annual summary report by Commissioner
Section
15-10A-07
Quarterly report to Commissioner by Health Advocacy Unit
Section
15-10A-08
Annual summary report by Health Advocacy Unit
Section
15-10A-09
Regulations; right to challenge decision resulting in nonpayment
Section
15-10A-10
Requirements of notice by carrier.