☰ Revisor of Missouri

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 376

Effective - 28 Aug 1997, 2 histories, see footnote (history) bottom

  376.1372.  Certification and member handbook to include utilization review procedures. — 1.  In the certificate of coverage and the member handbook provided to enrollees, a health carrier shall include a clear and comprehensive description of its utilization review procedures, including the procedures for obtaining review of adverse determinations, and a statement of rights and responsibilities of enrollees with respect to those procedures.

  2.  A health carrier shall include a summary of its utilization review procedures in material intended for prospective enrollees.

  3.  A health carrier shall print on its membership cards a toll-free telephone number to call for utilization review decisions.

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(L. 1997 H.B. 335)


---- end of effective   28 Aug 1997 ----

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