Wisconsin Wisconsin ER – 10.21.19 I. Scope and Applicability A. Who is subject to the state’s external review laws? Every insurer that issues a health benefit plan. Wis. Stat. § 632.835(2)(a) HMOs? Yes. Insurers? Yes. Utilization review organizations? No. ACOs? No. PPOs? No. Third party administrators? No. B. What exemptions are provided, if any? Coverage through […]
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