CHAPTER 58-17I
GRIEVANCE PROCEDURE
58-17I-1 Definitions.
58-17I-2 Health benefit plan defined.
58-17I-3 Urgent care request defined.
58-17I-4 Register of grievances required--Information to be compiled--Maintenance.
58-17I-5 Repealed.
58-17I-6 Grievance procedures--Filing--Certificate of compliance--Contact information.
58-17I-7 Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review.
58-17I-8 Rights of covered person or authorized representative on review--Access to documentation.
58-17I-9 Time for decision and notice--Calculation of time periods.
58-17I-10 Procedures for providing new or additional evidence.
58-17I-11 Issuance of decision--Required contents.
58-17I-12 Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review.
58-17I-13 Transmission of necessary information for certain expedited reviews.
58-17I-14 Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests.
58-17I-15 Expedited review decision--Notification--Required contents.
58-17I-16 Promulgation of rules.