# Ohio Rev. Code § 3922.03: Internal appeal processes; review of final determination

> Ohio · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.03

## Section

- **Citation:** Ohio Rev. Code § 3922.03
- **Heading:** Internal appeal processes; review of final determination
- **Jurisdiction:** Ohio
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Revised Code / Title 39 / Chapter 3922 / § 3922.03

## Text

September 6, 2012 House Bill 341 - 129th General Assembly (A) All health plan issuers shall implement an internal appeal process under which a covered person may appeal an adverse benefit determination. This process must be in compliance with the "Patient Protection and Affordable Care Act of 2010," Pub. L. 111-148, 124 Stat. 119, as amended, and the associated regulations, as well as any other applicable state laws or rules or federal regulations. (B) Review of a final adverse benefit determination shall be through an external review under section 3922.08 , 3922.09 , or 3922.10 of the Revised Code. (C) All health plan issuers shall provide notice to covered persons, pursuant to and in accordance with federal regulations, of all internal appeal processes, external review processes, the availability of any applicable office of health insurance assistance, ombudsman program, or other similar program in this state to assist consumers.

## Nearby sections

- [Ohio Rev. Code § 3922.01 § 3922.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.01.md)
- [Ohio Rev. Code § 3922.02 § 3922.02. Request for review of adverse benefit determination](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.02.md)
- [Ohio Rev. Code § 3922.03 § 3922.03. Internal appeal processes; review of final determination](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.03.md)
- [Ohio Rev. Code § 3922.04 § 3922.04. Exhaustion of issuer's internal appeal process](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.04.md)
- [Ohio Rev. Code § 3922.05 § 3922.05. Opportunities for external review by independent review organization](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.05.md)
- [Ohio Rev. Code § 3922.06 § 3922.06. Reconsideration by issuer](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.06.md)
- [Ohio Rev. Code § 3922.07 § 3922.07. Information considered for review](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.07.md)
- [Ohio Rev. Code § 3922.08 § 3922.08. Provisions applicable to standard reviews; Timing;](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.08.md)
- [Ohio Rev. Code § 3922.09 § 3922.09. Request for expedited external review](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.09.md)
- [Ohio Rev. Code § 3922.10 § 3922.10. Provisions applicable to external reviews involving experimental or investigational treatment; timing](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.10.md)
- [Ohio Rev. Code § 3922.11 § 3922.11. Review by superintendent of insurance](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.11.md)
- [Ohio Rev. Code § 3922.12 § 3922.12. Effect of decision](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.12.md)
- [Ohio Rev. Code § 3922.13 § 3922.13. Accreditation of independent review organizations](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.13.md)
- [Ohio Rev. Code § 3922.14 § 3922.14. Additional actions for accreditation](https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.03. Check the current official text before relying on it. Not legal advice.