America's Affordable Health Choices Act of 2009, October 14, 2009, 111-1 House Report 111-299, Part 1, *2009 |
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Страница 6
... ENTITY . - The terms " QHBP offering entity " means , with respect to a health benefits plan that is- ( A ) a group health plan ( as defined , subject to subsection ( d ) , in section 733 ( a ) ( 1 ) of the Employee Retirement Income ...
... ENTITY . - The terms " QHBP offering entity " means , with respect to a health benefits plan that is- ( A ) a group health plan ( as defined , subject to subsection ( d ) , in section 733 ( a ) ( 1 ) of the Employee Retirement Income ...
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... entity is required to comply with standards for electronic finan- cial and administrative transactions under section 1173A of the Social Security Act and the operating rules under section 1173B of such Act , as added by section 163 ( a ) ...
... entity is required to comply with standards for electronic finan- cial and administrative transactions under section 1173A of the Social Security Act and the operating rules under section 1173B of such Act , as added by section 163 ( a ) ...
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... entity offering such plan— ( A ) shall provide adequate notice in writing to any participant or bene- ficiary under such plan , or enrollee under such coverage , whose claim for benefits under the plan has been denied ( within the ...
... entity offering such plan— ( A ) shall provide adequate notice in writing to any participant or bene- ficiary under such plan , or enrollee under such coverage , whose claim for benefits under the plan has been denied ( within the ...
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... entity's decision , shall be transmitted between the plan or issuer and the requester by tele- phone , facsimile , or other similarly expeditious available method ; and ( C ) the plan or issuer shall expedite the review in the case of ...
... entity's decision , shall be transmitted between the plan or issuer and the requester by tele- phone , facsimile , or other similarly expeditious available method ; and ( C ) the plan or issuer shall expedite the review in the case of ...
Страница 20
... entity may con- dition the use of an external appeal process upon payment to the plan or entity of a filing fee that does not exceed $ 25 . ( B ) EXCEPTION FOR INDIGENCY . - The plan or issuer may not require pay- ment of the filing fee ...
... entity may con- dition the use of an external appeal process upon payment to the plan or entity of a filing fee that does not exceed $ 25 . ( B ) EXCEPTION FOR INDIGENCY . - The plan or issuer may not require pay- ment of the filing fee ...
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111TH CONGRESS administrative Advisory agencies amount applicable appropriate areas assistance authorized Center clause clinical Commissioner Committee Congress contract coordination cost-sharing costs coverage Current Law dual eligibles durable medical equipment employers enactment end the following enrollee enrollment ensure establish evaluation federal fiscal funds GENERAL.-Section grant Health and Human health benefits plan health care Health Insurance Exchange health plan health workforce HIPAA hospital Human Services implement improve individual inserting items and services Law This provision Medicaid medical home Medicare Part D Medicare Prescription Drug ment mental health counselor nursing facility participate patient payment period PHSA sec PHSA section PHSA title physician pilot program premium prescription drug preventive services Proposed Law qualified health benefits quality measures rebate resident respect retary Security Act 42 Social Security Act specified standards striking submit subparagraph subsection Subtitle Task Force telehealth term tion United States Code