El propósito de este capítulo es proveer las normas para establecer y mantener los procedimientos de revisión externa que regirán en Puerto Rico, a fines de garantizar que las personas cubiertas o asegurados tengan la oportunidad de recibir una revisión independiente de las determinaciones adversas o determinaciones adversas finales que hacen las organizaciones de seguros de salud o aseguradores.
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