Iowa Admin. Code r. 191-35.37 - Information filing requirements
(1)
Each health maintenance organization shall annually file with the division no
later than July 1 the following information by plan as requested by the
division :
a. Health plan employer data
information set (HEDIS).
b. Network
composition.
c. Other information
determined to be beneficial to consumers including but not limited to consumer
survey information.
(2)
Each preferred provider organization health network shall annually file with
the division no later than July 1 the following information by plan as
requested by the division :
a. Reportable
information as defined by a nationally recognized accreditation organization
for preferred provider organization health networks.
b. Network composition.
c. Other information determined to be
beneficial to consumers including but not limited to consumer survey
information.
(3) Each
health maintenance organization and insurer using a preferred provider
organization health network shall transmit the requested information by
electronic mail in a format prescribed by the division .
Notes
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