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Article

Venable LLP | USA | 5 Jul 2011

Health care reform: more changes to the claims and appeals process

The Internal Revenue Service (IRS), Department of Labor (DOL), and Department of Health and Human Services (HHS) modified the review process for claims for benefits under non-grandfathered health plans once again.

Article

Venable LLP | USA | 16 Sep 2010

New federal external claims review procedures (what does a health plan have to do?)

The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 ("PPACA"), will shortly require certain group health plans to comply with either state or federal external review procedures.

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