Chapter 514J. EXTERNAL REVIEW OF HEALTH CARE COVERAGE DECISIONS  


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.