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Current as of January 01, 2025 | Updated by Findlaw Staff
If a health care insurer makes an adverse prior authorization determination, the health care insurer shall notify the covered person and the covered person's health care provider and provide each
(1) a clear explanation of the reasons for the adverse determination, including the specific evidence-based reasons and criteria used to make the determination and a description of any specific missing or insufficient information that contributed to the adverse determination;
(2) a statement of the covered person's right to appeal the adverse determination;
(3) instructions on how to file an appeal, including a clear explanation of the appeals process, the appeal timeline, and the direct telephone number and electronic and physical mailing addresses for appeals.
Cite this article: FindLaw.com - Alaska Statutes Title 21. Insurance § 21.07.140. Adverse determinations - last updated January 01, 2025 | https://codes.findlaw.com/ak/title-21-insurance/ak-st-sect-21-07-140/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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