Current through 2024 Act No. 225.
Section 38-71-1950 - Requests for external review(A) All requests for external review must be made in writing to the health carrier.(B) A covered person or his authorized representative may make a request for an external review of an adverse determination or final adverse determination only when the amount payable for covered benefits is at least five hundred dollars.(C) A covered person is not entitled to an external review of a retrospective review determination unless the covered person has exhausted the health carrier's internal appeal process and may be held financially responsible for the covered benefits.2000 Act No. 380, Section 3A.