Benefit Determination and Utilization Review

230-RICR-20-30-14 ACTIVE RULE

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14.2Purpose and Scope


14.4General Requirements

14.5Delegate Requirements

14.6Benefit Determination General Requirements

14.7 Internal Appeal and Reconsideration Requirements

14.8 External Appeal of Non-Administrative Benefit Determinations Requirements


14.10Waiver of Requirements

14.11Variance Requirements

14.12Denial, Suspension, or Revocation of Certification

14.13Penalties and Enforcement


Title 230 Department of Business Regulation (includes the Office of the Health Insurance Commissioner)
Chapter 20 Insurance
Subchapter 30 Health Insurance
Part 14 Benefit Determination and Utilization Review
Type of Filing Periodic Refile
Regulation Status Active
Effective 01/04/2022

Regulation Authority:

R.I. Gen. Laws § § 27-18.9

Purpose and Reason:

This rule is being refiled by the agency pursuant to R.I. Gen. Laws § 42-35-4.1.  No changes were made to the text of this rule.