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Group Health Plan Internal and External Claim Review Requirements (PDF)
Alston & Bird LLP 
[Guidance Overview] Aug. 24, 2011 The new Claims Review Rules added by the ACA incorporate by referencethe claims review regulations set forth in ERISA .... Thus, if yourgroup health plan is subject to ERISA, and your group health plan is not a grandfathered plan as defined by the ACA, you are responsible for complying with both ERISA's claims procedure rules and the new Claims Review Rules set forth in the ACA. MORE >> |
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