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VOLUME A
VOLUME A-1
VOLUME A-1a
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VOLUME C
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SubPart 98-2 - External Appeals of Adverse Determinations
Effective Date
12/03/2008
SubPart 98-2 - External Appeals of Adverse Determinations
Section 98-2.1 - Preamble
Section 98-2.2 - Definitions
Section 98-2.3 - Standard description of the external appeal process
Section 98-2.4 - Certification of external appeal agents
Section 98-2.5 - Certification requirements
Section 98-2.6 - Conflict of interest
Section 98-2.7 - Screening of requests for external appeal
Section 98-2.8 - Random assignment of external appeals
Section 98-2.9 - Responsibilities of health care plans
Section 98-2.10 - Responsibilities of certified external appeal agents
Section 98-2.11 - Enrollee rights and responsibilities
Section 98-2.12 - Confidentiality
Section 98-2.13 - Audits and examinations