{"data":{"id":"us-mt/33-32-415","jurisdiction":"us-mt","citation":"33-32-415","heading":"Binding nature of external review decisions.","body":"(1) An external review decision is binding on:\n(a) the health insurance issuer; and\n(b) the covered person except to the extent that the covered person has other remedies available under applicable federal or state law.\n(2) A covered person or, if applicable, the covered person's authorized representative may not file a subsequent request for external review involving the same adverse determination or final adverse determination for which the covered person has already received an external review decision pursuant to this part.","path":["TITLE 33. INSURANCE AND INSURANCE COMPANIES","CHAPTER 32. HEALTH UTILIZATION REVIEW","Part 4. External Review"],"source_url":"https://mca.legmt.gov/bills/mca/title_0330/chapter_0320/part_0040/section_0150/0330-0320-0040-0150.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:52:56Z","sha256":"1df37c216799cc78cb6159391dfcc013b6234974358e86be52674668e98c3a22","source_id":"us-mt","stale":false,"prev":"us-mt/33-32-413","next":"us-mt/33-32-416"},"notice":"GroundRules: Original legal text. Not legal advice."}