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New Internal and External Review Requirements for Claims and Appeals Procedures under Reform
Jones Day Link to more items from this source
[Guidance Overview]
Aug. 24, 2010
Excerpt: Effectively, these new requirements mean that group health plans must review appeals immediately upon receipt to allow for potential interim 'mini appeals' prior to the deadline for responding to the appeal. In addition, plans that currently allow for two levels of appeal might consider reducing that to one to maximize the time allowed for the above process to take place.

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