Ohio § 3922.07
Full text of Ohio Ohio Revised Code § 3922.07, with citation guidance and answers to common questions.
§ 3922.07.
In addition to the information provided under division (D)(1)(b) of section 3922.05 , division (B) of section 3922.08 , division (C) of section 3922.09 , and division (D) of section 3922.10 of the Revised Code , an assigned independent review organization, to the extent that such documents are
available and appropriate, shall consider all of the following when conducting its
review: (A) The covered person's medical records; (B) The attending health care professional's recommendation; (C) Consulting reports from appropriate health care professionals and other documents
submitted by the health plan issuer, covered person, or covered person's treating
provider; (D) The terms of coverage under the covered person's health benefit plan to ensure that
the independent review organization's decision is not contrary to the terms of the
plan; (E) The most appropriate practice guidelines, including evidence-based standards, and
practice guidelines developed by the federal government, and national or professional
medical societies, boards, and associations; (F) Any applicable clinical review criteria developed and used by the health plan issuer
or its designated utilization review organization; (G) The opinion of the independent review organization's clinical reviewer or reviewers
after considering the other sources described in this section.
Frequently Asked Questions About Ohio § 3922.07
What does Ohio Revised Code § 3922.07 cover?
Section 3922.07 is part of the Ohio Revised Code, the codified statutory law of Ohio. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Ohio § 3922.07?
A common citation format is "Ohio Revised Code § 3922.07" (Ohio). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Ohio law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Ohio official source linked on this page or consult a licensed Ohio attorney.
How does Ohio § 3922.07 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Ohio can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Ohio.