Health & Safety Code 1374.30(m) (2001)
Summary:
An enrollee may apply for an independent medical review of a decision to deny, modify or delay medical services. The health service plan shall provide the enrollee with an application form. The form shall include a statement indicating the enrollee's consent to obtain any necessary medical records from the plan, contracting providers, or any out-of-plan provider consulted on the issue that must be signed by the enrollee.
Parties Bound:
Health service plans, enrollees Associated Federal Law(s):
Uses and disclosures for which an authorization is required : Authorization is generally required for use or disclosure of protected health information. Exceptions (listed).
Associated Federal Law(s):
Uses and disclosures to carry out treatment, payment, or health care operations
: Permitted uses and disclosures