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CT SB00417
Bill
Status
6/23/2015
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Requires health carriers to notify healthcare professionals of the opportunity to conference with a clinical peer when notifying a covered person of an initial adverse determination based on medical necessity, concurrent/prospective utilization review, or benefit request denial.
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Mandates health carriers offer conferences with clinical peers at the request of the healthcare professional, provided no grievance has been filed on the adverse determination.
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Specifies that such conferences between healthcare professionals and clinical peers shall not be considered a formal grievance of the initial adverse determination.
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Effective October 1, 2015.
Legislative Description
An Act Concerning Conferences Between Health Carriers' Clinical Peers And Health Care Professionals.
Last Action
Signed by the Governor
6/23/2015