Guidelines for Appeals and External Claims Review in 2010 Health Reform

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Guidelines for Appeals and External Claims Review in 2010 Health Reform
Wolters Kluwer Law & Business

[Guidance Overview]
July 26, 2010

Excerpt: Six new requirements have been added for internal claims procedures and appeals, including a 24-hour notice requirement for benefit determinations, according to new interim final rules issued jointly by the Internal Revenue Service, the Department of Labor's Employee Benefits Security Administration ..., and the Department of Health and Human Services' Office of Consumer Information and Insurance Oversight[.]

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