3 AAC 28.982 - Disclosure requirements
A health care insurer shall set out in, or attach to, a policy, certificate of coverage, membership booklet, or other evidence of coverage provided to a covered person a description of the external review procedures described under 3 AAC 28.950"3 AAC 28.982. The description must include
(1) a statement of the covered person's or
the covered person's authorized representative's right to file a request for an
external review of an adverse determination or final adverse determination with
the director; the statement must include the division's current mailing
address, electronic mail address, telephone number, and facsimile transmission
number;
(2) a statement informing
the covered person that, when filing a request for an external review, the
covered person will be required to authorize the release of medical records of
the covered person that may be required to be reviewed for the purpose of
reaching a decision on the external review;
(3) a brief description, including timelines,
of each type of external review process; and
(4) a statement of the covered person or the
covered person's authorized representative's right to provide additional
information or otherwise participate in the external review process.
Notes
Authority:AS 21.06.090
AS 21.07.005
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