Illinois Illinois ER – 10.16.19 I. Scope and Applicability A. Who is subject to the state’s external review laws? All health carriers. 215 ILCS 180/15(a); 50 Ill. Adm. Code 4530.20(a) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? No specific provision. PPOs? Yes. Third party administrators? Yes only if they are administering benefits via a […]
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