Section 3922.01. Definitions

Section 3922.02. Request for review of adverse benefit determination

Section 3922.03. Internal appeal processes; review of final determination

Section 3922.04. Exhaustion of issuer's internal appeal process

Section 3922.05. Opportunities for external review by independent review organization

Section 3922.06. Reconsideration by issuer

Section 3922.07. Information considered for review

Section 3922.08. Provisions applicable to standard reviews; Timing;

Section 3922.09. Request for expedited external review

Section 3922.10. Provisions applicable to external reviews involving experimental or investigational treatment; timing

Section 3922.11. Review by superintendent of insurance

Section 3922.12. Effect of decision

Section 3922.13. Accreditation of independent review organizations

Section 3922.14. Additional actions for accreditation

Section 3922.15. Qualifications for clinical reviewers

Section 3922.16. Construction of chapter; limitations on liability

Section 3922.17. Maintenance of records; reports

Section 3922.18. Payment of costs

Section 3922.19. Disclosure of external review procedures

Section 3922.20. Admissibility of written decision or medicare reimbursement standards

Section 3922.21. Confidentiality

Section 3922.22. Adoption of rules

Section 3922.23. Violation; Penalties