Montana Code 33-32-301. Short title
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33-32-301. Short title. The provisions of Title 33, chapter 32, parts 3 and 4, may be cited as the “Health Insurance Issuer Grievance Procedures and External Review Act”.
Terms Used In Montana Code 33-32-301
- External review: describes the set of procedures provided for in Title 33, chapter 32, part 4. See Montana Code 33-32-102
- Grievance: means a written complaint or an oral complaint if the complaint involves an urgent care request submitted by or on behalf of a covered person regarding:
(a)availability, delivery, or quality of health care services, including a complaint regarding an adverse determination made pursuant to utilization review;
(b)claims payment, handling, or reimbursement for health care services; or
(c)matters pertaining to the contractual relationship between a covered person and a health insurance issuer. See Montana Code 33-32-102