Technical Release 2010-01: Interim Procedures for Federal External Review Relating to Internal Claims and Appeals and External Review Under the Patient Protection and Affordable Care Act

Technical Release 2010-01: Interim Procedures for Federal External Review Under the Patient Protection and Affordable Care Act is a 8-page legal document that was released by the U.S. Department of Labor on August 23, 2010 and used nation-wide.

FAQ

Q: What is Technical Release 2010-01?A: Technical Release 2010-01 is a set of procedures for federal external review related to internal claims and appeals and external review under the Patient Protection and Affordable Care Act.

Q: What is the purpose of Technical Release 2010-01?A: The purpose of Technical Release 2010-01 is to provide interim procedures for federal external review relating to internal claims and appeals and external review under the Patient Protection and Affordable Care Act.

Q: What does Technical Release 2010-01 cover?A: Technical Release 2010-01 covers procedures for federal external review related to internal claims and appeals and external review under the Patient Protection and Affordable Care Act.

Q: What is the Patient Protection and Affordable Care Act?A: The Patient Protection and Affordable Care Act is a comprehensive health care reform law enacted in 2010 to improve access to affordable health insurance and increase consumer protections.

Q: Who is responsible for implementing Technical Release 2010-01?A: Technical Release 2010-01 is implemented by the federal government.

Q: Are the procedures in Technical Release 2010-01 permanent?A: No, Technical Release 2010-01 provides interim procedures, which means they are temporary and subject to change.

Q: What is the significance of external review under the Patient Protection and Affordable Care Act?A: External review provides consumers with an independent review of denied claims and appeals, ensuring a fair and impartial review process.

Q: What happens during an external review?A: During an external review, an independent reviewer evaluates the denial of a claim or appeal and makes a decision that is binding on the insurance company.

Q: What is an internal claim and appeal?A: An internal claim and appeal is a process where a consumer challenges an insurance company's denial of coverage or benefits.

Q: Who can request an external review?A: Any consumer whose claim or appeal has been denied by an insurance company can request an external review under the Patient Protection and Affordable Care Act.