D.C. Mun. Regs. tit. 22, r. 22-B6012

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B6012 - ANNUAL REPORT OF INDEPENDENT REVIEW ORGANIZATIONS

6012.1

Each IRO shall submit to the Director on or before October 30th of each year an annual report.

6012.2

The annual report shall include the following information:

(a) Name and address of the reporting IRO;

(b) The reporting period in question;

(c) The total number of grievances reviewed, categorized by insurer, cause, disposition, and length of time for resolution;

(d) The total number of grievances decided in favor of the member categorized by insurer, cause, disposition, and length of time for resolution, and the total number decided in favor of the insurer; and

(e) Total number of expedited reviews, length of time for resolution and disposition.

D.C. Mun. Regs. tit. 22, r. 22-B6012

Final Rulemaking published at 47 DCR 229 (January 14, 2000)