Part 410 - External Appeals Of Adverse Determinations Of Health Care Plans
- Section 410.1 - Preamble
- Section 410.2 - Definitions
- Section 410.3 - Standard description of the external appeal process
- Section 410.4 - Certification of external appeal agents
- Section 410.5 - Certification requirements
- Section 410.6 - Conflict of interest
- Section 410.7 - Screening of requests for external appeal
- Section 410.8 - Random assignment of external appeals
- Section 410.9 - Responsibilities of health care plans
- Section 410.10 - Responsibilities of certified external appeal agents
- Section 410.11 - Insured rights and responsibilities
- Section 410.12 - Confidentiality
- Section 410.13 - Audits and examinations