™Your Policy Risk Impact Agent
37 chapters · 1,713 sections in this title.
Mont. Code Ann. § 33-32-411 Expedited External Review
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(1) Except as provided in subsection (11), a covered person or, if applicable, the covered person's authorized representative may request an expedited external review with the health insurance issuer at the time the covered person receives: (a) an adverse determination if: (i) th…
Mont. Code Ann. § 33-32-412 External Review Of Adverse Determinations For Experimental Or Investigational Treatment -- Expedited External Review
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(1) Within 120 days after the date when a covered person or, if applicable, the covered person's authorized representative receives notice pursuant to 33-32-403 of an adverse determination or final adverse determination that involves a denial of coverage because a health insuranc…
Mont. Code Ann. § 33-32-415 Binding Nature Of External Review Decisions
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(1) An external review decision is binding on: (a) the health insurance issuer; and (b) the covered person except to the extent that the covered person has other remedies available under applicable federal or state law. (2) A covered person or, if applicable, the covered person's…
Mont. Code Ann. § 33-32-416 Approval Of Independent Review Organizations -- Renewal
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(1) The commissioner shall approve independent review organizations that are eligible to conduct external reviews under this part. (2) To be eligible for approval by the commissioner to conduct external reviews under this part, an independent review organization: (a) must be accr…