™Your Policy Risk Impact Agent
32 chapters · 358 sections in this title.
Mich. Comp. Laws § 550.1901 Short title.
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Sec. 1. This act shall be known and may be cited as the "patient's right to independent review act".
Mich. Comp. Laws § 550.1903 Definitions.
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Sec. 3. As used in this act: (a) "Adverse determination" means a determination by a health carrier or its designee utilization review organization that an admission, availability of care, continued stay, or other health care service that is a covered benefit has been reviewed and…
Mich. Comp. Laws § 550.1905 Scope.
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Sec. 5. (1) Except as otherwise provided in subsection (2), this act applies to all health carriers. (2) This act does not apply to a policy or certificate that provides coverage only for specified accident or accident-only coverage, credit, disability income, hospital indemnity,…
Mich. Comp. Laws § 550.1907 Right to request external review for adverse determination; written notice.
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Sec. 7. (1) A health carrier shall provide written notice to a covered person of the internal grievance and external review processes at the time the health carrier sends written notice of an adverse determination. (2) Except as provided in subsection (3)(a), a request for an ext…