(a) A healthcare insurer issuing or delivering a managed care plan shall establish for those managed care plans a grievance procedure which provides covered persons with a prompt and meaningful review on the issue of denial, in whole or in part, of a healthcare treatment or service.
(b) (1) The covered person shall be provided prompt notice in writing of the outcome of the grievance procedure.
(2) In the event the outcome is adverse to the covered person, the notice shall include specific findings related to the grievance.
Section: Previous 23-99-403 23-99-404 23-99-405 23-99-406 23-99-407 23-99-408 23-99-409 23-99-410 23-99-411 23-99-412 23-99-413 23-99-414 23-99-415 23-99-416 23-99-417 NextLast modified: November 15, 2016