# Ohio Rev. Code § 3922.07: Information considered for review

> Ohio · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_T39_C3922_S3922.07

## Section

- **Citation:** Ohio Rev. Code § 3922.07
- **Heading:** Information considered for review
- **Jurisdiction:** Ohio
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Revised Code / Title 39 / Chapter 3922 / § 3922.07

## Text

December 26, 2011 House Bill 218 - 129th General Assembly In addition to the information provided under division (D)(1)(b) of section 3922.05 , division (B) of section 3922.08 , division (C) of section 3922.09 , and division (D) of section 3922.10 of the Revised Code, an assigned independent review organization, to the extent that such documents are available and appropriate, shall consider all of the following when conducting its review: (A) The covered person's medical records; (B) The attending health care professional's recommendation; (C) Consulting reports from appropriate health care professionals and other documents submitted by the health plan issuer, covered person, or covered person's treating provider; (D) The terms of coverage under the covered person's health benefit plan to ensure that the independent review organization's decision is not contrary to the terms of the plan; (E) The most appropriate practice guidelines, including evidence-based standards, and practice guidelines developed by the federal government, and national or professional medical societies, boards, and associations; (F) Any applicable clinical review criteria developed and used by the health plan issuer or its designated utilization review organization; (G) The opinion of the independent review organization's clinical reviewer or reviewers after considering the other sources described in this section.

## 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_S3922.07. Check the current official text before relying on it. Not legal advice.