Retrospective review determinations--Timing--Notification requirements

For retrospective review determinations, the health carrier shall make the determination within a reasonable period of time, but in no event later than thirty days after the date of receiving the benefit request. In the case of a certification, the health carrier may notify in writing the covered person and the provider rendering the service. If the determination is an adverse determination, the health carrier shall provide notice of the adverse determination to the covered person or, if applicable, the covered person's authorized representative, in accordance with §