Section 4530.10 Purpose

Section 4530.10  Purpose

This Part will implement the Health Carrier External Review

Act [215 ILCS 180] in order to assure uniform standards for the establishment

and maintenance of external review procedures, to assure that covered persons

have the opportunity for an independent review of an adverse determination or

final adverse determination and provide appropriate registration standards and

oversight of health care plans by the Department of Insurance for the review of

adverse and final adverse determinations.