Part 5430 - HEALTH CARRIER EXTERNAL REVIEW

  1. § 5430.10 - Purpose (Recodified)
  2. § 5430.20 - Applicability and Scope (Recodified)
  3. § 5430.30 - Definitions (Recodified)
  4. § 5430.40 - Health Carrier Obligations (Recodified)
  5. § 5430.50 - Independent Review Organization Obligations (Recodified)
  6. § 5430.60 - Registration of Independent Review Organizations (Recodified)
  7. § 5430.70 - Operational Requirements (Recodified)
  8. § 5430.80 - Examination (Recodified)
  9. § 5430.90 - Random Selection of IROs by Director (Recodified)
  10. Appendix A - External Review Annual Report Form (Repealed), version 16
  11. Appendix B - IRO Notice of Decision Template - Non-Experimental and Investigational (Recodified), version 9
  12. Appendix C - IRO Notice of Decision Template - Experimental and Investigational (Recodified), version 7
  13. Appendix D - Independent Review Organizations - Application for Registration (Recodified), version 4
  14. Appendix E - Independent Review Organizations - Application for Reapproving Independent Review Organizations (Recodified), version 4
  15. Appendix F - Illinois or NAIC Biographical Affidavit (Recodified), version 3

Notes

Adopted at 34 Ill. Reg. 10741, effective July 19, 2010.

 Amended at 39 Ill. Reg. 4077, effective 9/1/2015. Amended at 39 Ill. Reg. 12577, effective 9/1/2015. Recodified from 50 Ill. Adm. Code 5430 to 50 Ill. Adm. Code 4530 at 41 Ill. Reg. 4990.

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

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