Subpart 98-2 External Appeals of Adverse Determinations
- 10 CRR-NY II R 98-2 Notes
- s 98-2.1 Preamble.
- s 98-2.2 Definitions.
- s 98-2.3 Standard description of the external appeal process.
- s 98-2.4 Certification of external appeal agents.
- s 98-2.5 Certification requirements.
- s 98-2.6 Conflict of interest.
- s 98-2.7 Screening of requests for external appeal.
- s 98-2.8 Random assignment of external appeals.
- s 98-2.9 Responsibilities of health care plans.
- s 98-2.10 Responsibilities of certified external appeal agents.
- s 98-2.11 Enrollee rights and responsibilities.
- s 98-2.12 Confidentiality.
- s 98-2.13 Audits and examinations.