North Carolina North Carolina – 2018 Scope and Applicability A. Who is subject to the state’s grievance regulations? Insurers N.C. Gen. Stat. § 58-50-62(a) HMOs? Yes. Insurers? Yes. Utilization Review Organizations? No. ACOs? Yes, if the ACO meets the definition of insurer. PPOs? Yes, if the PPO meets the definition of insurer. Third Party Administrators? […]

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