CO Rev. Stat. §10-16-113(3)(b)(IV)(A)

August 8, 2021 8:20 am | Published by

(IV)(A) The second-level internal review of an appeal from the denial of a request for covered benefits pursuant to subparagraph (I) of this paragraph (b) shall be reviewed by a health care professional who has appropriate expertise, who was not previously involved in the appeal, and who does not have a direct financial interest in the appeal or outcome of the review.

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