Section 58-17C-92 - Additional voluntary review--Right of covered person to appear--Requirednotice--Not applicable to health indemnity plans.
58-17C-92. Additional voluntary review--Right of covered person to appear--Required notice--Not applicable to health indemnity plans. A health carrier that offers managed care plans shall establish a voluntary review process for its managed care plans to give those covered persons who are dissatisfied with the first level review decision made pursuant to §§ 58-17C-70 to 58-17C-86, inclusive, or who are dissatisfied with the standard review decision made pursuant to §§ 58-17C-87 to 58-17C-91, inclusive, the option to request an additional voluntary review, at which the covered person or the covered person's authorized representative has the right to appear in person at the review meeting before designated representatives of the health carrier. This section does not apply to health indemnity plans.
A health carrier required by this section to establish a voluntary review process shall provide covered persons or their authorized representatives with notice pursuant to subdivision 58-17C-86(6) or 58-17C-91(5), as appropriate, of the option to file a request with the health carrier for an additional voluntary review of the first level review decision received under §§ 58-17C-83 to 58-17C-86, inclusive, or the standard review decision received under §§ 58-17C-87 to 58-17C-91, inclusive.
Source: SL 2003, ch 250, § 43.