There is a newer version of the Michigan Compiled Laws
2006 Michigan Compiled Laws - Act 251 of 2000
| AN ACT to provide review of certain health care coverage adverse determinations made by health carriers; to prescribe eligibility, powers, and duties of certain independent review organizations; to prescribe the powers and duties of certain health carriers; to prescribe the powers and duties of certain persons; to prescribe the powers and duties of certain state officials; to provide for the reporting of certain information; to provide fees; and to provide penalties for violations of this act.
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| Document | Description |
| Section 550.1901 | Short title. |
| Section 550.1903 | Definitions. |
| Section 550.1905 | Scope. |
| Section 550.1907 | Right to request external review for adverse determination; written notice. |
| Section 550.1909 | Written request to commissioner. |
| Section 550.1911 | Request for external review; commencement; preliminary review; notice of acceptance; duties of commissioner; incomplete request; nonacceptance; assignment of independent review organization; duty of health carrier to provide documents; reconsideration by health carrier of its adverse determination; recommendation; considerations; review by commissioner; notice of decision. |
| Section 550.1913 | Expedited external review. |
| Section 550.1915 | Decision as final administrative remedy; other remedies. |
| Section 550.1917 | Approved independent review organizations; application; form; fee; expiration; termination; updated list. |
| Section 550.1919 | Approved independent review organizations; requirements. |
| Section 550.1921 | Independent review organization; liability for damages. |
| Section 550.1923 | Maintenance of records; report to commissioner. |
| Section 550.1925 | Description of internal grievance and external review procedures; inclusion with materials provided to covered persons. |
| Section 550.1927 | Rules. |
| Section 550.1929 | Cease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds. |
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