| External Review

  1. Law
  2. Ohio Revised Code
  3. | Insurance
  4. | External Review

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Section
3922.01

| Definitions.

Section
3922.02

| Request for Review of Adverse Benefit Determination.

Section
3922.03

| Internal Appeal Processes; Review of Final Determination.

Section
3922.04

| Exhaustion of Issuer's Internal Appeal Process.

Section
3922.05

| Opportunities for External Review by Independent Review Organization.

Section
3922.06

| Reconsideration by Issuer.

Section
3922.07

| Information Considered for Review.

Section
3922.08

| Provisions Applicable to Standard Reviews; Timing;.

Section
3922.09

| Request for Expedited External Review.

Section
3922.10

| Provisions Applicable to External Reviews Involving Experimental or Investigational Treatment; Timing.

Section
3922.11

| Review by Superintendent of Insurance.

Section
3922.12

| Effect of Decision.

Section
3922.13

| Accreditation of Independent Review Organizations.

Section
3922.14

| Additional Actions for Accreditation.

Section
3922.15

| Qualifications for Clinical Reviewers.

Section
3922.16

| Construction of Chapter; Limitations on Liability.

Section
3922.17

| Maintenance of Records; Reports.

Section
3922.18

| Payment of Costs.

Section
3922.19

| Disclosure of External Review Procedures.

Section
3922.20

| Admissibility of Written Decision or Medicare Reimbursement Standards.

Section
3922.21

| Confidentiality.

Section
3922.22

| Adoption of Rules.

Section
3922.23

| Violation; Penalties.