Rhode Island Rhode Island ER – 4.4.19 I.  Scope and Applicability A.  Who is subject to the state’s external review laws? All health carriers seeking to perform external review. HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What exemptions are provided, if any? No provision. II.  Regulatory […]

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