Internal Claims and Appeals and External Review Process under Health Care Reform

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Internal Claims and Appeals and External Review Process under Health Care Reform
Reinhart Boerner Van Deuren s.c.

[Guidance Overview]
Aug. 26, 2010

PPACA adds section 2719 to the Public Health Safety Act (PHSA)1, providing new internal claims and appeals and external review processes. This section applies to non-grandfathered health plans as of the first day of the first plan year beginning on or after September 23, 2010.

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