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2020 Michigan Compiled Laws
Chapter 550 - General Insurance Laws
Act 251 of 2000 Patient's Right to Independent Review Act (550.1901 - 550.1929)
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.
History: 2000, Act 251, Eff. Oct. 1, 2000
- 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 Director; Manner; Electronic Communication.
- Section 550.1911 Request for External Review; Commencement; Preliminary Review; Notice of Acceptance; Duties of Director; 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 Director; 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 Organization; Requirements.
- Section 550.1921 Independent Review Organization; Liability for Damages.
- Section 550.1923 Maintenance of Records; Report to Director.
- 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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