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.
Amended by 129th General AssemblyFile No.48, HB 218, ยง1, eff. 12/26/2011.
Effective Date: 05-01-2000
Section: Previous 1751.74 1751.75 1751.77 1751.78 1751.79 1751.80 1751.81 1751.811 1751.82 1751.821 1751.822 1751.823 1751.83 1751.831 1751.84 NextLast modified: October 10, 2016