D.C. Code § 44-301.03. Establishment of grievance system: Grievance and Appeals Procedure – District of Columbia

Status: Enacted
Year Enacted: 1999
Year Amended: 2013
File: Download

A member or member representative shall have a right to file an appeal with an insurer for a review of an adverse benefit determination. An insurer’s health benefits plan shall include an appeal system that provides for the presentation and resolution of appeals brought by members or member representatives.

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