33-32-415. Binding nature of external review decisions.
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/mt/title-33/chapter-32/part-4/33-32-415A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
33-32-415 . Binding nature of external review decisions.
(1)An external review decision is binding on:
(a)the health insurance issuer; and
(b)the covered person except to the extent that the covered person has other remedies available under applicable federal or state law.
(2)A covered person or, if applicable, the covered person's authorized representative may not file a subsequent request for external review involving the same adverse determination or final adverse determination for which the covered person has already received an external review decision pursuant to this part.