§ 514J.1 Legislative intent
§ 514J.2 Definitions
§ 514J.3 Exclusions
§ 514J.3A Notice
§ 514J.4 External review request — fee
§ 514J.5 Certification of request — eligibility
§ 514J.6 Independent review entities
§ 514J.7 External review
§ 514J.8 Expedited review
§ 514J.9 Funding
§ 514J.10 Reporting
§ 514J.11 Immunity
§ 514J.12 Standard of review
§ 514J.13 Effect of external review decision
§ 514J.14 Rules
§ 514J.15 Penalties
§ 514J.101 Purpose — applicability
§ 514J.102 Definitions
§ 514J.103 Applicability and scope
§ 514J.104 Notice of right to external review
§ 514J.105 Request for external review
§ 514J.106 Exhaustion of internal grievance process — exceptions — expedited external review request
§ 514J.107 External review — standard
§ 514J.108 External review — expedited
§ 514J.109 External review of experimental or investigational treatment adverse determinations
§ 514J.110 Effect of external review decision
§ 514J.111 Approval of independent review organizations
§ 514J.112 Minimum qualifications for independent review organizations
§ 514J.113 Immunity for independent review organizations
§ 514J.114 External review reporting requirements
§ 514J.115 Expenses of external review
§ 514J.116 Disclosure requirements
§ 514J.117 Rulemaking authority
§ 514J.118 Severability
§ 514J.119 Penalties
§ 514J.120 Applicability

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Terms Used In Iowa Code > Chapter 514J - External Review of Health Care Coverage Decisions

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • following: when used by way of reference to a chapter or other part of a statute mean the next preceding or next following chapter or other part. See Iowa Code 4.1
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: means individual, corporation, limited liability company, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other legal entity. See Iowa Code 4.1
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Rule: includes "regulation". See Iowa Code 4.1
  • state: when applied to the different parts of the United States, includes the District of Columbia and the territories, and the words "United States" may include the said district and territories. See Iowa Code 4.1
  • Uphold: The decision of an appellate court not to reverse a lower court decision.
  • week: means seven consecutive days. See Iowa Code 4.1
  • year: means twelve consecutive months. See Iowa Code 4.1