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Will New Claims and Appeals Procedures Change Case Law?

March 20, 2012
Related Topics: Health Care Reform, Health Care Costs, Benefit Design and Communication, Health and Wellness, Health Care Benefits, Benefits
Health care reform regulations that took effect for the 2011 plan year require non-grandfathered self-insured and insured group health plans to make changes to their internal appeal procedures and offer external reviews of denied claims. As a result, all plans, whether subject to or exempt from ERISA, will have to follow the same general claim-handling rules.
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