PATIENT'S RIGHT TO INDEPENDENT REVIEW ACT
Act 251 of 2000
550.1915 Decision as final administrative remedy; other remedies.
Sec. 15.
(1) An external review decision and an expedited external review decision are the final administrative remedies available under this act. A person aggrieved by an external review decision or an expedited external review decision may seek judicial review no later than 60 days from the date of the decision in the circuit court for the county where the covered person resides or in the circuit court of Ingham county.
(2) Subsection (1) does not preclude a health carrier from seeking other remedies available under applicable state law.
(3) Subsection (1) does not preclude a covered person from seeking other remedies available under applicable federal or state law.
(4) A covered person or 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 under this act.
History: 2000, Act 251, Eff. Oct. 1, 2000 ;-- Am. 2000, Act 398, Imd. Eff. Jan. 8, 2001
Notes of Decisions
William Beaumont Hosp. v. Wass, 889 N.W.2d 745 (Mich. Ct. App. 2016).
· cites it 12× “3 MCL 550.1915 provides: *397 (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act.”
English v. Blue Cross Blue Shield of Mich., 688 N.W.2d 523 (Mich. Ct. App. 2004).
· cites it 3× “MCL 550.1915 provides that the commissioner’s decision constitutes the “final administrative remed[y] available under this act.”
Ross v. Blue Care Network of Michigan, 747 N.W.2d 828 (Mich. 2008).
· cites it 4× “Finally, a party aggrieved by the commissioner's decision may seek judicial review, MCL 550.1915(1). [9] As can be seen from this statutory scheme, it is hard to imagine a more comprehensive review process.”
Ross v. Blue Care Network of Mich., 722 N.W.2d 223 (Mich. Ct. App. 2006).
· cites it 7× “MCL 550.1915. Therefore, on appeal to the circuit court, a final decision of the OFIS Commissioner under PRIRA is reviewed pursuant to the “authorized by law” standard articulated in Const 1963, art 6, § 28.”
Frances a Miller v. Blue Cross Blue Shield of Michigan (Mich. Ct. App. 2016).
“Instead, this case is governed by the appellate court rules, because petitioner filed a petition for review of the OFIR’s final order in the trial court pursuant to MCL 550.1915 and MCR 7.103(A)(4), and respondent asserted its defense in a response.”
James Linn v. BCBSM, Inc., 890 N.W.2d 160 (Minn. Ct. App. 2017).
“18, § 332 (1999); Mich. Comp. Laws Ann. § 550.1915 (1) (2002); N.”
— Mich. Comp. Laws § 550.1915(1) — 4 cases
William Beaumont Hosp. v. Wass, 889 N.W.2d 745 (Mich. Ct. App. 2016).
“3 MCL 550.1915 provides: *397 (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act.”
Ross v. Blue Care Network of Michigan, 747 N.W.2d 828 (Mich. 2008).
“Finally, a party aggrieved by the commissioner's decision may seek judicial review, MCL 550.1915(1). [9] As can be seen from this statutory scheme, it is hard to imagine a more comprehensive review process.”
English v. Blue Cross Blue Shield of Mich., 688 N.W.2d 523 (Mich. Ct. App. 2004).
“MCL 550.1915 provides that the commissioner’s decision constitutes the “final administrative remed[y] available under this act.”
Ross v. Blue Care Network of Mich., 722 N.W.2d 223 (Mich. Ct. App. 2006).
“MCL 550.1915. Therefore, on appeal to the circuit court, a final decision of the OFIS Commissioner under PRIRA is reviewed pursuant to the “authorized by law” standard articulated in Const 1963, art 6, § 28.”
— Mich. Comp. Laws § 550.1915(2) — 2 cases
William Beaumont Hosp. v. Wass, 889 N.W.2d 745 (Mich. Ct. App. 2016).
“3 MCL 550.1915 provides: *397 (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act.”
English v. Blue Cross Blue Shield of Mich., 688 N.W.2d 523 (Mich. Ct. App. 2004).
“MCL 550.1915 provides that the commissioner’s decision constitutes the “final administrative remed[y] available under this act.”
— Mich. Comp. Laws § 550.1915(3) — 1 case
William Beaumont Hosp. v. Wass, 889 N.W.2d 745 (Mich. Ct. App. 2016).
“3 MCL 550.1915 provides: *397 (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act.”
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