Delaware Administrative Code
Title 18 - Insurance
1300 - Health Insurance General Provisions
1301 - Internal Review and Independent Utilization Review of Health Insurance Claims
Section 1301-8.0 - IHCAP Costs

Universal Citation: 18 DE Admin Code 1301-8.0

Current through Register Vol. 28, No. 3, September 1, 2024

8.1 All costs for IHCAP review by an IURO, whether the review is preliminary, or partially or fully completed, shall be borne by the carrier.

8.1.1 These costs shall include a $75 administration fee for processing and handling by the Department.

8.2 The carrier shall reimburse the Department for the cost of the IHCAP review within 90 calendar days of receipt of the decision by the IURO or within 90 days of termination of review by the IURO by other means.

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