Health and insurance; notice of adverse determinations.

Updated the document title from 'HOUSE SUBSTITUTE' to 'ENROLLED' and removed the bill number and committee attribution, indicating the bill has been approved by the General Assembly.

Adjusted formatting of section headers and legal citations (e.g., adding a space before the section symbol) to match the final enrolled style.

Added a new requirement for health carriers to notify treating providers in writing within two working days and orally within 24 hours of an adverse determination, with specific instructions on how to seek reconsideration or appeal.

Added a requirement that carriers must make a good faith attempt to obtain information from the provider before rendering an adverse determination.

Modified the required contact information in patient notices by removing the mandate to list the medical director's name for HMOs, while retaining the requirement to list the designated employee or representative for non-HMO carriers.

The document structure was updated to include 'House Substitute' headers, session year (2026), and internal bill tracking numbers (e.g., 26105487D), while the core legal text was preserved.