• Claims, Appeals and External Review Rules Liberalized
  • July 14, 2011 | Authors: Anthony C. Ciriaco; Jennifer B. Dunsizer; Jolie N. Havens; Linda R. Mendel
  • Law Firm: Vorys, Sater, Seymour and Pease LLP - Columbus Office
  • The Patient Protection and Affordable Care Act (PPACA) imposed new rules for claims, appeals and external review on non-grandfathered group health plans. Those rules, as originally issued on July 23, 2010, were surprisingly complex and burdensome. After a series of modest modifications, the IRS, DOL and HHS came out with some more significant changes on June 24, 2011.