Ohio

Section 3922.01 — Definitions.

Section 3922.02 — Request for review of adverse benefit determination.

Section 3922.03 — Internal appeal processes; review of final determination.

Section 3922.04 — Exhaustion of issuer's internal appeal process.

Section 3922.05 — Opportunities for external review by independent review organization.

Section 3922.06 — Reconsideration by issuer.

Section 3922.07 — Information considered for review.

Section 3922.08 — Provisions applicable to standard reviews; Timing;.

Section 3922.09 — Request for expedited external review.

Section 3922.10 — Provisions applicable to external reviews involving experimental or investigational treatment; timing.

Section 3922.11 — Review by superintendent of insurance.

Section 3922.12 — Effect of decision.

Section 3922.13 — Accreditation of independent review organizations.

Section 3922.14 — Additional actions for accreditation.

Section 3922.15 — Qualifications for clinical reviewers.

Section 3922.16 — Construction of chapter; limitations on liability.

Section 3922.17 — Maintenance of records; reports.

Section 3922.18 — Payment of costs.

Section 3922.19 — Disclosure of external review procedures.

Section 3922.20 — Admissibility of written decision or medicare reimbursement standards.

Section 3922.21 — Confidentiality.

Section 3922.22 — Adoption of rules.

Section 3922.23 — Violation; Penalties.