37.108.521    INFORMAL RECONSIDERATION OF DEPARTMENT DECISION

(1) If a health carrier is aggrieved by a decision by the department pursuant to Title 33, chapter 36, part 3, MCA, and these rules, the health carrier may request an informal reconsideration of the department action as provided in ARM 37.5.311.

(2) The informal reconsideration includes:

(a) written notice to the health carrier of the department action and the findings upon which it was based, if not otherwise already provided;

(b) the health carrier's written refutation of the department's findings, which must be received by the department within 15 days after mailing of the department's notice under (2) (a) ; and

(c) the department's written determination modifying, affirming, or reversing its decision.

(3) Any informal reconsideration under this rule is not subject to the provisions of the Montana Administrative Procedure Act, Title 2, chapter 4, MCA.

History: 33-36-105, MCA; IMP, 33-36-401, MCA; NEW, 2001 MAR p. 1342, Eff. 7/20/01.