Iowa External Review Changes

by

Susan J. Freed

The Iowa Insurance Division recently adopted emergency rules implementing Iowa’s new external review process for health claim denials and other adverse decisions made by health insurers.  The rules outline the process for appealing a health insurer’s adverse decision to an independent third party, a right given to patients under the Affordable Care Act.

While the new rules are in effect now, the public has an opportunity to comment on the rules on or before August 23, 2011.  A public meeting will also be held on August 23, 2011 at 10:00 a.m.  A copy of the emergency rules, as well as information on the public comment period, is available at

http://www.legis.state.ia.us/aspx/ACODOCS/DOCS/07-27-2011.Bulletin.pdf

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