Ohio § 1751.811 Internal and external reviews

Ohio Statutes

§ 1751.811 — Internal and external reviews

Ohio § 1751.811

Title 17Corporations-Partnerships

Ch. 1751Health Insuring Corporation Law

This text of Ohio § 1751.811 (Internal and external reviews) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 1751.811 (2026).

Text

In lieu of conducting a prospective,  concurrent, or retrospective review under section1751.81of the  Revised Code, providing a reconsideration under section1751.82of  the Revised Code, or conducting an internal review under section1751.83of the Revised Code, a health insuring corporation may  afford an enrollee an opportunity for an external review under  section3922.08or3922.10of the Revised Code. If an external  review is conducted pursuant to this section, the health insuring  corporation is not required to afford the enrollee an opportunity  for any of the reviews that were disregarded pursuant to this  section, including the external review that may have resulted from  a review that was disregarded pursuant to this section, unless new  clinical information is submitted to the health 

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In lieu of conducting a prospective, concurrent, or retrospective review under section1751.81of the Revised Code, providing a reconsideration under section1751.82of the Revised Code, or conducting an internal review under section1751.83of the Revised Code, a health insuring corporation may afford an enrollee an opportunity for an external review under section3922.08or3922.10of the Revised Code. If an external review is conducted pursuant to this section, the health insuring corporation is not required to afford the enrollee an opportunity for any of the reviews that were disregarded pursuant to this section, including the external review that may have resulted from a review that was disregarded pursuant to this section, unless new clinical information is submitted to the health insuring corporation.