Part 4530 - HEALTH CARRIER EXTERNAL REVIEW

  1. § 4530.10 - Purpose
  2. § 4530.20 - Applicability and Scope
  3. § 4530.30 - Definitions
  4. § 4530.40 - Health Carrier Obligations
  5. § 4530.50 - Independent Review Organization Obligations
  6. § 4530.60 - Registration of Independent Review Organizations
  7. § 4530.70 - Operational Requirements
  8. § 4530.80 - Examination
  9. § 4530.90 - Random Selection of IROs by Director
  10. Appendix A - IRO Notice of Decision Template - Non-Experimental and Investigational, version 14
  11. Appendix B - IRO Notice of Decision Template - Experimental and Investigational, version 7
  12. Appendix C - Independent Review Organizations - Application for Registration, version 4
  13. Appendix D - Independent Review Organizations - Application for Reapproving Independent Review Organizations, version 3
  14. Appendix E - Illinois or NAIC Biographical Affidavit (Repealed), version 3

Current through Register Vol. 46, No. 15, April 8, 2022

Notes

Adopted at 34 ill. reg. 10741, effective july 19, 2010; amended at 39 ill. reg. 4077, effective september 1, 2015; amended at 39 ill. reg. 12577, effective september 1, 2015 Recodified from 50 Ill. Adm. Code 5430 to 50 Ill. Adm. Code 4530 at 41 Ill. Reg. 4990. Amended at 42 Ill. Reg. 20426, effective 11/1/2018. Amended at 43 Ill. Reg. 11502, effective 9/24/2019.

AUTHORITY: Implementing the Health Carrier External Review Act [215 ILCS 180] and authorized by Section 50(h) of that Act and Section 401 of the Illinois Insurance Code [215 ILCS 5/401].

The following state regulations pages link to this page.



State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.