North Dakota § 26.1-36.12-14 Procedures for appeals of adverse determinations

North Dakota Statutes

§ 26.1-36.12-14 — Procedures for appeals of adverse determinations

North Dakota § 26.1-36.12-14

Title 26.1Insurance

Ch. 26.1-36.12Prior Authorization for Health Insurance

This text of North Dakota § 26.1-36.12-14 (Procedures for appeals of adverse determinations) is published on Counsel Stack Legal Research, covering North Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.D. Cent. Code § 26.1-36.12-14 (2026).

Text

1.A prior authorization review organization shall have written procedures for appeals of adverse determinations. The right to appeal must be available to the enrollee and the attending health care professional.

2.The enrollee may review the information relied on in the course of the appeal, present evidence and testimony as part of the appeals process, and receive continued coverage pending the outcome of the appeals process.

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1. A prior authorization review organization shall have written procedures for appeals of
adverse determinations. The right to appeal must be available to the enrollee and the
attending health care professional.
2. The enrollee may review the information relied on in the course of the appeal, present
evidence and testimony as part of the appeals process, and receive continued
coverage pending the outcome of the appeals process.