<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-10A-07" title_number="15" title_name="Health Insurance" subtitle_number="10A" subtitle_name="Complaint Process for Adverse Decisions or Grievances">
  <text>On a quarterly basis, the Health Advocacy Unit shall submit a report to the Commissioner that:</text>
  <level label="1">
    <text>describes activities it performed on behalf of members that have participated in an internal grievance process of a carrier established under this subtitle;</text>
  </level>
  <level label="2">
    <text>describes its efforts to mediate cases that involve an adverse decision;</text>
  </level>
  <level label="3">
    <text>names each carrier involved in the cases described in the report;</text>
  </level>
  <level label="4">
    <text>states the number and outcome of each grievance considered an emergency case under § 15-10A-02(b)(2)(i) of this subtitle described in the report, including the time within which the carrier made a grievance decision on each emergency case; and</text>
  </level>
  <level label="5">
    <text>states the number and outcome of each case described in the report that was not considered an emergency case, including the time within which the carrier made a grievance decision on the case.</text>
  </level>
</section>
