title: Independent external review of health maintenance organizations' medical-necessity decisions.
authors.affiliation: Health Law Department, Boston University School of Public Health, Boston, USA.
authors.forename: Wendy K
authors.initials: WK
authors.lastname: Mariner
mesh_terms: D019461:Employee Retirement Income Security Act; D005260:Female; D020793:Gatekeeping / Q000331:legislation & jurisprudence*; D033161:Government Regulation; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence* / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D019458:Insurance Coverage / Q000331:legislation & jurisprudence*; D013219:State Government; D013901:Thoracic Outlet Syndrome / Q000601:surgery; D014481:United States