LegalFix
Sign In

304.17A-621 Independent External Review Program established.

KY Rev Stat § 304.17A-621 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

304.17A-621 Independent External Review Program established. The Independent External Review Program is hereby established in the department. The program shall provide covered persons with a formal, independent review to address disagreements between the covered person and the covered person's insurer regarding an adverse determination made by the insurer, its designee, or a private review agent. This section and KRS 304.17A-623 and 304.17A-625 establish requirements and procedures governing external review and independent review entities. Effective: July 15, 2010 History: Amended 2010 Ky. Acts ch. 24, sec. 1240, effective July 15, 2010. -- Created 2000 Ky. Acts ch. 262, sec. 11, effective July 14, 2000.

Previous Section
304.17A-619 Duty of covered person, authorized person, or provider to provide insurer with new information regarding internal appeal -- Time frame for insurer to render a decision based on new information -- Insurer's failure to make timely determination or provide written notice.
Next Section
304.17A-623 External review of adverse determination -- Who may request -- Criteria for review -- Fee -- Conditions under which covered person not entitled to review -- Resolution of disputes -- Confidentiality -- Expedited external review.