Montana Statutes
§ 33-32-415 — Binding Nature Of External Review Decisions
Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 32 HEALTH UTILIZATION REVIEW·Part 4 External Review
33-32-415 . Binding nature of external review decisions.
(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 authorized representative may not file a subsequent request for external review involving the same adverse determination or final adverse determination for which the covered person has already received an external review decision pursuant to this part.
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Legislative History
En. Sec. 25, Ch. 428, L. 2015.
Nearby Sections
15
§ 33-32-101
Purpose§ 33-32-102
Definitions§ 33-32-103
Utilization Review Plan§ 33-32-104
Preemption By Federal Law§ 33-32-105
Application -- Exemptions§ 33-32-107
Length Of Prior Authorization§ 33-32-108
Retroactive Denials Prohibited§ 33-32-109
Biologic Prescriptions For Minors§ 33-32-201
Repealed§ 33-32-203
Repealed§ 33-32-204
Repealed§ 33-32-206
Responsibility For Contracted Services