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Effect of appeal of independent review organization determination.

Ark. Code Ann. § 23-99-1124
in effect
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(a) A healthcare insurer is bound by an appeal or independent review organization determination that does not affirm the determination made by the healthcare insurer to rescind a prior authorization exemption. (b) A healthcare insurer shall not retroactively deny a healthcare service on the basis of a rescission of an exemption, even if the healthcare insurer's determination to rescind the prior authorization exemption is affirmed by an independent review organization. (c) If a determination of a prior authorization exemption made by the healthcare insurer is overturned on review by an independent review organization, the healthcare insurer: (1) Shall not attempt to rescind the exemption before the end of the next evaluation period; and (2) May only rescind the exemption if the healthcare insurer complies with §§ 23-99-1122 and 23-99-1123.
Source: Arkansas General Assembly, Acts of 2021-2026 (arkleg.state.ar.us)URL: https://arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2023R%2FPublic%2F&file=575.pdf&ddBienniumSession=2023%2F2023RFetched: 11/8/2026

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