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7036 — Puerto Rico Law | CourtGPT
  1. Home/
  2. Laws/
  3. Puerto Rico/
  4. Title Twenty-four - Health and Sanitation (§§ 1 — 15010)/
  5. Part IX - Health Insurance/
  6. Chapter 301 - Health Insurance Administration Sub/
  7. Subchapter V - Health Insurance Plan § 7036a - Beneficiaries—orientation/
  8. 7036
Puerto Rico Legal Code

7036

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The Administration shall require insurers, providers, and health service organizations with whom it contracts to establish the procedures to handle and resolve complaints from the participating providers and the beneficiaries.\nThe Administration shall establish guidelines for the resolution of complaints which shall guarantee due process of law. The findings made regarding these complaints shall be appealable before the Administration, as provided by regulations or the signed contract. The final findings of the Administration shall be reviewable by the Court of Appeals.\nHistory —Sept. 7, 1993, No. 72, Art. VI, § 12, renumbered as § 10 on Dec. 29, 2000, No. 463, § 9; July 19, 2002, No. 105, § 4; Aug. 8, 2010, No. 123, § 10.