Wisconsin Wisconsin GR – 11.18.19 I. Scope and Applicability A.Who is subject to the state’s grievance regulations? Health benefit plans and insurers offering health benefit plans Wis. Adm. Code Ins. 18.03; Wis. Stat. § 632.83 HMOs? Yes. Insurers? Yes. Utilization Review Organizations? No. ACOs? No. PPOs? No. Third Party Administrators? No. B. What terms does […]
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