NJ Admin Code §11:24-5.2(a)(3)
October 15, 2021 5:31 am(a) The HMO shall provide or arrange for the provision of the following basic comprehensive health services as medically necessary:... View more
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NV Rev Stat §689A.717(1-3)
October 15, 2021 5:42 am(1) Except as otherwise provided in this subsection, an individual health benefit plan issued pursuant to this chapter that includes... View more
NV Rev Stat §695C.185(1)
October 15, 2021 5:50 am(1) Except as otherwise provided in subsection 2, a health maintenance organization shall approve or deny a claim relating to... View more
NV Rev Stat §695G.150
October 15, 2021 5:54 amEach managed care organization shall authorize coverage of a health care service that has been recommended for the insured by... View more
NV Rev Stat §695G.170(1-2)
October 15, 2021 5:53 am(1) Each managed care organization shall provide coverage for medically necessary emergency services provided at any hospital. (2) A managed... View more
NV Rev Stat §695G.230(2)
October 15, 2021 5:52 am(2) If a health carrier denies coverage of a health care service to an insured, including, without limitation, a health... View more
NY Ins L §3221(k)(4)(A)
August 8, 2021 2:08 pm(4)(A) Every group policy delivered or issued for delivery in this state that provides coverage for inpatient hospital care shall include... View more
NY Ins L §3221(k)(5)(A)(i)
August 8, 2021 9:03 am(i) Every group or blanket policy delivered or issued for delivery in this state which provides hospital, surgical or medical coverage... View more
NY Ins L §3224-a(a)
August 8, 2021 1:57 am(a) Except in a case where the obligation of an insurer or an organization or corporation licensed or certified pursuant to... View more
NY Ins L §3224-a(c)(1)
August 8, 2021 1:58 am(c)(1) Except as provided in paragraph two of this subsection, each claim or bill for health care services processed in violation... View more