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The Legislative Service Commission staff updates the Revised Code on an ongoing basis, as it completes its act review of enacted legislation. Updates may be slower during some times of the year, depending on the volume of enacted legislation.

Section 3922.02 | Request for review of adverse benefit determination.

Ohio Revised Code
/
Title 39 Insurance
/
Chapter 3922 External Review
 
Effective:
September 6, 2012
Latest Legislation:
House Bill 341 - 129th General Assembly
PDF:
Download Authenticated PDF
 

(A) A covered person may make a request for an external review of an adverse benefit determination.

(B) All requests for external review shall be made in writing, including by electronic means, by the covered person to the health plan issuer within one hundred eighty days of the date of the final adverse benefit determination. However, in the case of an expedited external review under section 3922.09 of the Revised Code, the review may be requested orally.

(C) An adverse benefit determination shall be eligible for internal appeal or external review, regardless of the cost of the requested health care service related to the adverse benefit determination.

Available Versions of this Section