La organización de seguros de salud o asegurador contra el que se presente una solicitud de revisión externa ordinaria o acelerada tendrá la obligación de pagar a la organización de revisión independiente por la revisión externa.
La Oficina del Comisionado de Seguros notificará a los aseguradores y organizaciones de servicios de salud los costos del proceso o cualquier modificación en los mismos con al menos 120 días de anticipación.
La persona cubierta o asegurado pagará un costo nominal no mayor de veinticinco dólares ($25) por cada revisión. Disponiéndose, que para una misma persona cubierta o asegurado el costo no puede exceder de setenta y cinco dólares ($75) por año-póliza. La cantidad pagada por la persona cubierta o asegurado le será reembolsada si éste obtiene opinión a su favor.
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