Ohio Rev. Code § 1751.811

Current with legislation from 2024 received as of August 15, 2024.
Section 1751.811 - Internal and external reviews

In lieu of conducting a prospective, concurrent, or retrospective review under section 1751.81 of the Revised Code, providing a reconsideration under section 1751.82 of the Revised Code, or conducting an internal review under section 1751.83 of the Revised Code, a health insuring corporation may afford an enrollee an opportunity for an external review under section 3922.08 or 3922.10 of the Revised Code. If an external review is conducted pursuant to this section, the health insuring corporation is not required to afford the enrollee an opportunity for any of the reviews that were disregarded pursuant to this section, including the external review that may have resulted from a review that was disregarded pursuant to this section, unless new clinical information is submitted to the health insuring corporation.

R.C. § 1751.811

Amended by 129th General Assembly, HB 218, §1, eff. 12/26/2011.
Effective Date: 05-01-2000 .