Arkansas Statutes
§ 23-99-1124 — Effect of appeal of independent review organization determination
Arkansas·Title 23
(a)A healthcare insurer is bound by an appeal or independent review organization determination that does not affirm the determination made by the healthcare insurer to rescind a prior authorization exemption.
(b)A healthcare insurer shall not retroactively deny a healthcare service on the basis of a rescission of an exemption, even if the healthcare insurer's determination to rescind the prior authorization exemption is affirmed by an independent review organization.
(c)If a determination of a prior authorization exemption made by the healthcare insurer is overturned on review by an independent review organization, the healthcare insurer:
(1)Shall not attempt to rescind the exemption before the end of the next evaluation period; and (2) May only rescind the exemption if the healthcare
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Arkansas § 23-99-1124 (Effect of appeal of independent review organization determination) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.
Legislative History
Added by Act 2023, No. 575,§ 5, eff. 8/1/2023.
Nearby Sections
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