191—76.1 (84GA,HF597) Purpose. This chapter is intended to implement 2011 Iowa Acts, House File 597, to provide a uniform process for covered persons of health carriers providing health insurance coverage or the covered persons’ authorized representatives to request and receive an external review of adverse determinations and final adverse determinations as defined in 2011 Iowa Acts, House File 597, sections 2(1) and 2(18), and as referenced in 2011 Iowa Acts, House File 597, section 9(1). Health carriers defined in 2011 Iowa Acts, House File 597, section 2(23), are subject to these rules.
[ARC 9637B, IAB 7/27/11, effective 7/8/11]