Utah Admin. Code R590-261-5 - Notice of Right to Independent Review
"We have rescinded your coverage or denied your request for
the provision of or payment for a health care service or course of treatment.
You may have the right to have our decision reviewed by a health care
professional who has no association with us if our decision involved making a
judgment as to the medical necessity, appropriateness, health care setting,
level of care, or effectiveness of the health care service or treatment you
requested. To receive additional information about an
Notes
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