Interim Final Rule on Internal Claims and Appeals and External Review Processes Released

PUTTING PEOPLE FIRST

New Regulations Give Patients Right To Appeal Health Plan Decisions; New Grants Program Strengthens State and Territory Consumer Assistance Programs

The Obama Administration is announcing both new regulations to empower consumers to appeal decisions made by their health plans or insurance companies and the availability of resources that will be used to help give consumers more control of their health care decisions. These provisions of the Affordable Care Act will help support and protect consumers and help end some of the worst insurance company abuses.

For more detailed information visit these links:

Regulation: http://www.dol.gov/federalregister/HtmlDisplay.aspx?DocId=24056&AgencyId=8&DocumentType=2
Fact Sheet: http://www.dol.gov/ebsa/newsroom/fsaffordablecareact.html
Related Press Release: http://www.dol.gov/ebsa/newsroom/2010/ebsa072210.html
NAIC Uniform External Review Model Act: http://www.dol.gov/ebsa/pdf/externalreviewmodelact.pdf

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