Claims
- § 287.600 - Definitions
- § 287.601 - "Adverse determination" defined
- § 287.602 - "Appeals Manager" defined
- § 287.603 - "Claims Administrator" defined
- § 287.608 - Claims Administrator or vendor required to be independent contractor
- § 287.610 - Period for submission
- § 287.620 - Assumption regarding availability of benefits under Medicare; coordination under Medicare
- § 287.660 - Notification of adverse determination; grounds for appeal
- § 287.670 - Appeal of adverse determination: Requirements; duties of Appeals Manager
- § 287.680 - Appeal of decision of Appeals Manager: Requirements; duties of Executive Officer or designee
- § 287.690 - Request for external review
- § 287.695 - Request for expedited review by Claims Administrator
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