Government, Courts and the World of Work
From the monthly archives: July 2010
Three federal agencies have issued interim Final regulations requiring non-grandfathered health care plans to provide internal claims and appeals procedures and external review processes effective September 23, 2010.
Internal Claims Appeal
The interim final regulations set forth six new requirements
Adverse Benefit Determination. The definition of an “adverse benefit determination” is broader than the definition [...]
On July 14, 2010, Interim Final Regulations implementing provisions of the Patient Protection and Affordable Care Act (the
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