Providing for the consideration of H.R. 2990, the Quality Care for the Uninsured Act of 1999, and H.R. 2723, the Bipartisan Concensus Managed Care Improvement Act of 1999: report (to accompany H. Res. 323).
U.S. G.P.O., 1999 - Business & Economics - 229 pages
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amended ance issuer applicable appropriate approved clinical trial Bipartisan Consensus Managed certiﬁed claim for beneﬁts concurrent review CONSTRUCTION.—Nothing construed contract coverage in connection deadline speciﬁed deﬁned denial of claim determination drug emergency department emergency services enrollee erage external appeal entity external review ﬁnal decision GENERAL.—A group health group health plan health care liability health care professional health care provider health insurance coverage health insurance issuer Health Service Act Improvement Act individual’s insurance issuer offering issuer offering health item or service items and services liability action Managed Care Improvement obstetrical offering health insurance Panel participant or beneﬁciary participants and beneﬁciaries participating health participating provider payment pediatric physician plan or coverage plan or health plan or issuer plan sponsor primary care provider prior authorization procedures pursuant referral relating request requirements respect Sec Sec Sec Social Security Act specialist spect subparagraph Subtitle termination tion treatment United States Code utilization review activities