Source library
Follow the evidence to the original page.
These are starting sources and issue-discovery material—not a declaration that every institutional statement, study, or firsthand account is complete or correct. Ulekai checks relevance, date, authority, conflicts, incentives, corroboration, and limitations.
State filing sources
Choose a state, then a care category. Each link opens the guide’s sources and scope, including original documents, source-check dates, and verification limits.
“Filing sources checked” means the guide’s filing sources were read. “Filing details partly checked” means some instructions remain unverified. “Authority identified” means complete filing instructions have not been checked. Insurance labels apply to state insurance complaints only.
Alabama
- Alabama: DentalFiling sources checked
- Alabama: MedicalFiling sources checked
- Alabama: NursingFiling sources checked
- Alabama: PharmacyFiling sources checked
- Alabama: Behavioral healthFiling details partly checked
- Alabama: Facility or systemFiling details partly checked
- Alabama: State insurance complaintsFiling details partly checked
Alaska
- Alaska: DentalFiling details partly checked
- Alaska: MedicalFiling sources checked
- Alaska: NursingFiling sources checked
- Alaska: PharmacyFiling sources checked
- Alaska: Behavioral healthFiling details partly checked
- Alaska: Facility or systemFiling details partly checked
- Alaska: State insurance complaintsFiling sources checked
Arizona
- Arizona: DentalFiling details partly checked
- Arizona: MedicalFiling details partly checked
- Arizona: NursingFiling sources checked
- Arizona: PharmacyFiling details partly checked
- Arizona: Behavioral healthFiling details partly checked
- Arizona: Facility or systemAuthority identified
- Arizona: State insurance complaintsFiling details partly checked
Arkansas
- Arkansas: DentalAuthority identified
- Arkansas: MedicalFiling sources checked
- Arkansas: NursingAuthority identified
- Arkansas: PharmacyFiling details partly checked
- Arkansas: Behavioral healthFiling details partly checked
- Arkansas: Facility or systemFiling details partly checked
- Arkansas: State insurance complaintsFiling sources checked
California
- California: DentalFiling sources checked
- California: MedicalFiling sources checked
- California: NursingFiling sources checked
- California: PharmacyFiling sources checked
- California: Behavioral healthFiling sources checked
- California: Facility or systemFiling details partly checked
- California: State insurance complaintsFiling details partly checked
Colorado
- Colorado: DentalAuthority identified
- Colorado: MedicalAuthority identified
- Colorado: NursingAuthority identified
- Colorado: PharmacyAuthority identified
- Colorado: Behavioral healthFiling details partly checked
- Colorado: Facility or systemAuthority identified
- Colorado: State insurance complaintsAuthority identified
Connecticut
- Connecticut: DentalFiling sources checked
- Connecticut: MedicalFiling sources checked
- Connecticut: NursingFiling sources checked
- Connecticut: PharmacyFiling sources checked
- Connecticut: Behavioral healthFiling sources checked
- Connecticut: Facility or systemFiling sources checked
- Connecticut: State insurance complaintsFiling sources checked
Delaware
- Delaware: DentalFiling sources checked
- Delaware: MedicalFiling sources checked
- Delaware: NursingFiling sources checked
- Delaware: PharmacyFiling sources checked
- Delaware: Behavioral healthFiling sources checked
- Delaware: Facility or systemFiling details partly checked
- Delaware: State insurance complaintsFiling sources checked
District of Columbia
- District of Columbia: DentalFiling sources checked
- District of Columbia: MedicalFiling sources checked
- District of Columbia: NursingFiling sources checked
- District of Columbia: PharmacyFiling details partly checked
- District of Columbia: Behavioral healthFiling details partly checked
- District of Columbia: Facility or systemFiling details partly checked
- District of Columbia: State insurance complaintsFiling sources checked
Florida
- Florida: DentalFiling sources checked
- Florida: MedicalFiling sources checked
- Florida: NursingFiling sources checked
- Florida: PharmacyFiling sources checked
- Florida: Behavioral healthFiling details partly checked
- Florida: Facility or systemFiling sources checked
- Florida: State insurance complaintsFiling sources checked
Georgia
- Georgia: DentalFiling sources checked
- Georgia: MedicalFiling sources checked
- Georgia: NursingFiling sources checked
- Georgia: PharmacyFiling sources checked
- Georgia: Behavioral healthFiling details partly checked
- Georgia: Facility or systemFiling details partly checked
- Georgia: State insurance complaintsFiling sources checked
Hawaii
- Hawaii: DentalFiling sources checked
- Hawaii: MedicalFiling sources checked
- Hawaii: NursingFiling sources checked
- Hawaii: PharmacyFiling sources checked
- Hawaii: Behavioral healthFiling sources checked
- Hawaii: Facility or systemFiling details partly checked
- Hawaii: State insurance complaintsFiling sources checked
Idaho
- Idaho: DentalFiling details partly checked
- Idaho: MedicalAuthority identified
- Idaho: NursingFiling sources checked
- Idaho: PharmacyFiling details partly checked
- Idaho: Behavioral healthAuthority identified
- Idaho: Facility or systemAuthority identified
- Idaho: State insurance complaintsFiling sources checked
Illinois
- Illinois: DentalFiling sources checked
- Illinois: MedicalFiling sources checked
- Illinois: NursingFiling sources checked
- Illinois: PharmacyFiling sources checked
- Illinois: Behavioral healthFiling details partly checked
- Illinois: Facility or systemFiling details partly checked
- Illinois: State insurance complaintsFiling sources checked
Indiana
- Indiana: DentalFiling sources checked
- Indiana: MedicalFiling sources checked
- Indiana: NursingFiling sources checked
- Indiana: PharmacyFiling sources checked
- Indiana: Behavioral healthFiling sources checked
- Indiana: Facility or systemFiling details partly checked
- Indiana: State insurance complaintsFiling sources checked
Iowa
Kansas
- Kansas: DentalFiling details partly checked
- Kansas: MedicalFiling details partly checked
- Kansas: NursingFiling sources checked
- Kansas: PharmacyFiling details partly checked
- Kansas: Behavioral healthFiling details partly checked
- Kansas: Facility or systemFiling details partly checked
- Kansas: State insurance complaintsFiling details partly checked
Kentucky
- Kentucky: DentalFiling sources checked
- Kentucky: MedicalFiling sources checked
- Kentucky: NursingFiling sources checked
- Kentucky: PharmacyFiling sources checked
- Kentucky: Behavioral healthFiling details partly checked
- Kentucky: Facility or systemFiling sources checked
- Kentucky: State insurance complaintsFiling sources checked
Louisiana
- Louisiana: DentalFiling sources checked
- Louisiana: MedicalFiling sources checked
- Louisiana: NursingFiling sources checked
- Louisiana: PharmacyFiling sources checked
- Louisiana: Behavioral healthFiling details partly checked
- Louisiana: Facility or systemFiling details partly checked
- Louisiana: State insurance complaintsFiling sources checked
Maine
- Maine: DentalFiling sources checked
- Maine: MedicalFiling sources checked
- Maine: NursingFiling sources checked
- Maine: PharmacyFiling details partly checked
- Maine: Behavioral healthFiling details partly checked
- Maine: Facility or systemFiling sources checked
- Maine: State insurance complaintsFiling sources checked
Maryland
- Maryland: DentalFiling sources checked
- Maryland: MedicalFiling sources checked
- Maryland: NursingFiling sources checked
- Maryland: PharmacyFiling details partly checked
- Maryland: Behavioral healthFiling details partly checked
- Maryland: Facility or systemFiling details partly checked
- Maryland: State insurance complaintsFiling sources checked
Massachusetts
- Massachusetts: DentalFiling sources checked
- Massachusetts: MedicalFiling sources checked
- Massachusetts: NursingFiling sources checked
- Massachusetts: PharmacyFiling sources checked
- Massachusetts: Behavioral healthFiling sources checked
- Massachusetts: Facility or systemFiling sources checked
- Massachusetts: State insurance complaintsFiling sources checked
Michigan
- Michigan: DentalFiling sources checked
- Michigan: MedicalFiling sources checked
- Michigan: NursingFiling sources checked
- Michigan: PharmacyFiling sources checked
- Michigan: Behavioral healthFiling details partly checked
- Michigan: Facility or systemFiling details partly checked
- Michigan: State insurance complaintsFiling sources checked
Minnesota
- Minnesota: DentalFiling sources checked
- Minnesota: MedicalFiling sources checked
- Minnesota: NursingFiling sources checked
- Minnesota: PharmacyFiling sources checked
- Minnesota: Behavioral healthFiling sources checked
- Minnesota: Facility or systemFiling details partly checked
- Minnesota: State insurance complaintsFiling details partly checked
Mississippi
- Mississippi: DentalFiling sources checked
- Mississippi: MedicalFiling sources checked
- Mississippi: NursingFiling sources checked
- Mississippi: PharmacyFiling details partly checked
- Mississippi: Behavioral healthFiling sources checked
- Mississippi: Facility or systemFiling sources checked
- Mississippi: State insurance complaintsFiling sources checked
Missouri
- Missouri: DentalFiling details partly checked
- Missouri: MedicalFiling details partly checked
- Missouri: NursingFiling sources checked
- Missouri: PharmacyFiling details partly checked
- Missouri: Behavioral healthAuthority identified
- Missouri: Facility or systemFiling details partly checked
- Missouri: State insurance complaintsFiling sources checked
Montana
- Montana: DentalFiling sources checked
- Montana: MedicalFiling sources checked
- Montana: NursingFiling sources checked
- Montana: PharmacyFiling sources checked
- Montana: Behavioral healthFiling sources checked
- Montana: Facility or systemFiling sources checked
- Montana: State insurance complaintsFiling sources checked
Nebraska
- Nebraska: DentalFiling sources checked
- Nebraska: MedicalFiling sources checked
- Nebraska: NursingFiling sources checked
- Nebraska: PharmacyFiling sources checked
- Nebraska: Behavioral healthFiling sources checked
- Nebraska: Facility or systemFiling sources checked
- Nebraska: State insurance complaintsFiling sources checked
Nevada
- Nevada: DentalFiling sources checked
- Nevada: MedicalFiling details partly checked
- Nevada: NursingFiling sources checked
- Nevada: PharmacyFiling sources checked
- Nevada: Behavioral healthFiling details partly checked
- Nevada: Facility or systemFiling sources checked
- Nevada: State insurance complaintsFiling sources checked
New Hampshire
- New Hampshire: DentalFiling sources checked
- New Hampshire: MedicalFiling details partly checked
- New Hampshire: NursingFiling sources checked
- New Hampshire: PharmacyFiling sources checked
- New Hampshire: Behavioral healthFiling sources checked
- New Hampshire: Facility or systemAuthority identified
- New Hampshire: State insurance complaintsAuthority identified
New Jersey
- New Jersey: DentalFiling details partly checked
- New Jersey: MedicalFiling details partly checked
- New Jersey: NursingFiling details partly checked
- New Jersey: PharmacyFiling details partly checked
- New Jersey: Behavioral healthFiling details partly checked
- New Jersey: Facility or systemFiling details partly checked
- New Jersey: State insurance complaintsFiling sources checked
New Mexico
- New Mexico: DentalAuthority identified
- New Mexico: MedicalFiling sources checked
- New Mexico: NursingFiling sources checked
- New Mexico: PharmacyFiling sources checked
- New Mexico: Behavioral healthAuthority identified
- New Mexico: Facility or systemFiling details partly checked
- New Mexico: State insurance complaintsFiling sources checked
New York
- New York: DentalFiling sources checked
- New York: MedicalFiling sources checked
- New York: NursingFiling sources checked
- New York: PharmacyFiling sources checked
- New York: Behavioral healthFiling details partly checked
- New York: Facility or systemFiling details partly checked
- New York: State insurance complaintsFiling details partly checked
North Carolina
- North Carolina: DentalFiling details partly checked
- North Carolina: MedicalFiling sources checked
- North Carolina: NursingFiling sources checked
- North Carolina: PharmacyFiling sources checked
- North Carolina: Behavioral healthFiling sources checked
- North Carolina: Facility or systemFiling sources checked
- North Carolina: State insurance complaintsFiling sources checked
North Dakota
- North Dakota: DentalFiling sources checked
- North Dakota: MedicalFiling sources checked
- North Dakota: NursingFiling sources checked
- North Dakota: PharmacyFiling sources checked
- North Dakota: Behavioral healthFiling sources checked
- North Dakota: Facility or systemFiling details partly checked
- North Dakota: State insurance complaintsFiling sources checked
Ohio
- Ohio: DentalFiling details partly checked
- Ohio: MedicalFiling sources checked
- Ohio: NursingFiling sources checked
- Ohio: PharmacyFiling sources checked
- Ohio: Behavioral healthFiling details partly checked
- Ohio: Facility or systemFiling details partly checked
- Ohio: State insurance complaintsFiling details partly checked
Oklahoma
- Oklahoma: DentalFiling sources checked
- Oklahoma: MedicalFiling details partly checked
- Oklahoma: NursingFiling sources checked
- Oklahoma: PharmacyFiling sources checked
- Oklahoma: Behavioral healthFiling details partly checked
- Oklahoma: Facility or systemFiling details partly checked
- Oklahoma: State insurance complaintsFiling sources checked
Oregon
Pennsylvania
- Pennsylvania: DentalFiling sources checked
- Pennsylvania: MedicalFiling sources checked
- Pennsylvania: NursingFiling sources checked
- Pennsylvania: PharmacyFiling details partly checked
- Pennsylvania: Behavioral healthFiling sources checked
- Pennsylvania: Facility or systemFiling details partly checked
- Pennsylvania: State insurance complaintsFiling sources checked
Rhode Island
- Rhode Island: DentalFiling sources checked
- Rhode Island: MedicalFiling sources checked
- Rhode Island: NursingFiling sources checked
- Rhode Island: PharmacyFiling sources checked
- Rhode Island: Behavioral healthFiling sources checked
- Rhode Island: Facility or systemFiling details partly checked
- Rhode Island: State insurance complaintsFiling sources checked
South Carolina
- South Carolina: DentalFiling sources checked
- South Carolina: MedicalFiling sources checked
- South Carolina: NursingFiling sources checked
- South Carolina: PharmacyFiling sources checked
- South Carolina: Behavioral healthFiling sources checked
- South Carolina: Facility or systemFiling sources checked
- South Carolina: State insurance complaintsFiling sources checked
South Dakota
- South Dakota: DentalFiling sources checked
- South Dakota: MedicalFiling sources checked
- South Dakota: NursingFiling sources checked
- South Dakota: PharmacyFiling sources checked
- South Dakota: Behavioral healthFiling sources checked
- South Dakota: Facility or systemFiling details partly checked
- South Dakota: State insurance complaintsFiling sources checked
Tennessee
- Tennessee: DentalFiling sources checked
- Tennessee: MedicalFiling sources checked
- Tennessee: NursingFiling sources checked
- Tennessee: PharmacyFiling sources checked
- Tennessee: Behavioral healthFiling sources checked
- Tennessee: Facility or systemFiling sources checked
- Tennessee: State insurance complaintsFiling sources checked
Texas
Utah
Vermont
- Vermont: DentalFiling details partly checked
- Vermont: MedicalFiling details partly checked
- Vermont: NursingFiling details partly checked
- Vermont: PharmacyFiling details partly checked
- Vermont: Behavioral healthFiling details partly checked
- Vermont: Facility or systemFiling details partly checked
- Vermont: State insurance complaintsFiling details partly checked
Virginia
- Virginia: DentalFiling sources checked
- Virginia: MedicalFiling sources checked
- Virginia: NursingFiling sources checked
- Virginia: PharmacyFiling sources checked
- Virginia: Behavioral healthFiling sources checked
- Virginia: Facility or systemFiling details partly checked
- Virginia: State insurance complaintsFiling sources checked
Washington
- Washington: DentalFiling sources checked
- Washington: MedicalFiling sources checked
- Washington: NursingFiling sources checked
- Washington: PharmacyFiling sources checked
- Washington: Behavioral healthFiling sources checked
- Washington: Facility or systemFiling sources checked
- Washington: State insurance complaintsFiling sources checked
West Virginia
- West Virginia: DentalAuthority identified
- West Virginia: MedicalFiling sources checked
- West Virginia: NursingFiling sources checked
- West Virginia: PharmacyFiling sources checked
- West Virginia: Behavioral healthFiling details partly checked
- West Virginia: Facility or systemFiling sources checked
- West Virginia: State insurance complaintsFiling sources checked
Wisconsin
- Wisconsin: DentalFiling sources checked
- Wisconsin: MedicalFiling sources checked
- Wisconsin: NursingFiling sources checked
- Wisconsin: PharmacyFiling sources checked
- Wisconsin: Behavioral healthFiling sources checked
- Wisconsin: Facility or systemFiling sources checked
- Wisconsin: State insurance complaintsFiling sources checked
Wyoming
- Wyoming: DentalFiling sources checked
- Wyoming: MedicalFiling sources checked
- Wyoming: NursingFiling sources checked
- Wyoming: PharmacyFiling sources checked
- Wyoming: Behavioral healthFiling sources checked
- Wyoming: Facility or systemFiling sources checked
- Wyoming: State insurance complaintsFiling sources checked
Shared educational sources
These references link directly to original material. Their scope is described below; national guidance does not establish every state’s filing requirements.
Insurance plan types, records, privacy and civil rights
HIPAA designated-record-set access, exclusions and denials, format, fees and the record holder’s response period. Relevant rule text read; eCFR Title 45 displayed as current through September 28, 2026. Source checked: September 30, 2026.
Open original source ↗45 CFR 164.526: amendment of protected health informationAmendment requests, permissible denials, response period, appended or linked amendments and statements of disagreement. Relevant rule text read; eCFR Title 45 displayed as current through September 28, 2026. Source checked: September 30, 2026.
Open original source ↗HHS OCR: health-information complaint processCurrent HIPAA and 42 CFR Part 2 complaint scope; awareness-based filing period, good-cause extensions, identity, consent and retaliation protections. Page reviewed February 20, 2026. Source checked: September 30, 2026.
Open original source ↗HHS OCR: privacy complaint and consent packetHHS-700 (07/2025): knew-or-should-have-known timing; representative consent; disclosure of identity, consent limits and legally permitted routine uses/referrals. PDF read in full. Source checked: September 30, 2026.
Open original source ↗HHS OCR: civil-rights complaint processSeparate civil-rights complaint process for covered health or human-services programs; filing and consent instructions. Source checked: September 19, 2026.
Open original source ↗DOL EBSA: filing a claim for health benefitsERISA-covered private-employer plans, government/most church exclusions, benefit claims and appeals, plan-document instructions and conditional external review. Source checked: September 19, 2026.
Open original source ↗Medicare: appealsDistinct Original Medicare, Medicare Advantage/other plan and Part D appeal instructions; notices and fast appeals when covered care is ending. Source checked: September 30, 2026.
Open original source ↗Medicaid.gov: state Medicaid and CHIP helpState-program contacts for Medicaid/CHIP eligibility, enrollment and claim questions; this directory does not itself establish appeal procedures or deadlines. Source checked: September 30, 2026.
Open original source ↗DOL: group health plan fiduciary responsibilitiesERISA can cover insured and self-funded private-employer plans; both must satisfy DOL benefit-claim standards. Not evidence of a universal external-review right. Source checked: September 19, 2026.
Open original source ↗CMS: non-federal governmental health plansState/local governmental plan examples, insured and self-funded arrangements, CMS enforcement of applicable PHS Act requirements and questions/concerns contact. Page modified March 13, 2026; body text read. Source checked: September 30, 2026.
Open original source ↗Facility grievances, Medicare review and resident advocacy
Hospital participation scope and tags A-0118, A-0121–A-0123: written/verbal grievances, response policy, written decision and direct state-agency access. Relevant passages only; not a rule for every facility. Source checked: September 30, 2026.
Open original source ↗CMS: State Survey Agency contactsFederal participation oversight and quality complaint directory; confirm facility-type jurisdiction and state licensing separately. Source checked: September 30, 2026.
Open original source ↗Medicare: fast appeals and BFCC-QIO helpEligible care-ending/discharge and inpatient-to-observation status-change appeals, notice-specific timing and costs; separate quality-of-care help for Medicare-covered services. Current page text read. Source checked: September 30, 2026.
Open original source ↗ACL: Long-Term Care Ombudsman ProgramResident advocacy in nursing homes, assisted living, board-and-care and similar residential care; state-program locator. Source checked: September 19, 2026.
Open original source ↗45 CFR 1324: Long-Term Care Ombudsman rulesSections 1324.11(e)(3) and 1324.19: resident direction, consent, complainant/resident identity protection, court orders and limited incapacity exceptions; distinct from regulatory enforcement. Current through September 17, 2026 when checked. Source checked: September 19, 2026.
Open original source ↗Dental findings and treatment choices
2026 CDT crosswalk; identifies services and code labels, not whether a particular examination was adequate. Source checked: September 19, 2026.
Open original source ↗ADA: periodic, comprehensive, and periodontal evaluations2025 ADA explanation of selected evaluation categories; not a complete examination standard. Source checked: September 19, 2026.
Open original source ↗ADA: what procedure codes describeCoding education on documenting delivered services; coverage and clinical treatment decisions are distinct. Source checked: September 19, 2026.
Open original source ↗ADA: selecting dental X-raysUpdated March 26, 2026; describes individualized imaging recommendations that replace the 2012 selection guidance. Source checked: September 19, 2026.
Open original source ↗ADA: types of consentDental guidance on discussion, reasonable options, questions, and documentation; legal requirements vary. Source checked: September 19, 2026.
Open original source ↗NIDCR: tooth decayPatient information about early decay, cavities, symptoms, examination, and treatment; reviewed September 2025. Source checked: September 19, 2026.
Open original source ↗ADA: caries assessment and managementProfessional overview of examination, lesion activity, images, and patient risk; not a universal treatment threshold. Source checked: September 19, 2026.
Open original source ↗ADA: nonrestorative treatment optionsOverview of the 2018 guideline for selected lesions in children and adults, with separate summaries for baby and permanent teeth. Source checked: September 19, 2026.
Open original source ↗NHS: dental abscess warning signsClinical warning signs; reviewed March 18, 2026. UK telephone numbers and service instructions do not apply to US care routes. Source checked: September 19, 2026.
Open original source ↗ADA: managing decay without a filling in permanent teeth2018 guideline summary for permanent teeth: selected lesions, treatment tradeoffs, and monitoring. Baby teeth have separate recommendations. Source checked: September 19, 2026.
Open original source ↗ADA: restorative treatment in permanent teeth2023 guideline summary, document copyright 2024. Conditional recommendations for vital permanent teeth already assessed as requiring restoration. Source checked: September 19, 2026.
Open original source ↗NIDCR: gum diseasePatient information on gum assessment, symptoms, risks, and treatment; reviewed August 2026. Source checked: September 19, 2026.
Open original source ↗ADA: periodontitisProfessional overview of gum inflammation, supporting-tissue loss, diagnosis, and management. Source checked: September 19, 2026.
Open original source ↗AAP: staging and grading periodontitisProfessional classification framework for diagnosed periodontitis; requires clinical interpretation. Source checked: September 19, 2026.
Open original source ↗ADA MouthHealthy: scaling and root planingPatient explanation of treatment below the gums and reassessment of healing. Source checked: September 19, 2026.
Open original source ↗AAP: nonsurgical periodontal treatmentPatient information on scaling and root planing, further treatment, and continuing maintenance. Source checked: September 19, 2026.
Open original source ↗NIDCR: oral cancer informationPatient information on mouth changes, examination, and diagnosis; a symptom alone does not establish cancer. Source checked: September 19, 2026.
Open original source ↗ADA: 2026 oral-lesion guideline updateADA report on its 2026 guideline update. The full linked journal article was not accessible during this source check. Source checked: September 19, 2026.
Open original source ↗ADA: head-and-neck cancer and lesion evaluationCurrent ADA discussion of the 2026 adult diagnostic recommendations, biopsy, adjunct tests, and follow-up of persistent or progressing abnormalities. Source checked: September 30, 2026.
Open original source ↗ADA: 2026 oral-cancer guideline and clinical pathwayAdult guideline summary updated August 31, 2026; clinical examination, biopsy/referral, follow-up, and limits of adjunct tests. Several recommendations are conditional with low or very low evidence certainty. Source checked: September 30, 2026.
Open original source ↗ADA: clinical autonomy and financial pressureEthical discussion and scenarios, updated May 6, 2026; not prevalence evidence or a finding about a particular practice. Source checked: September 19, 2026.
Open original source ↗ADA MouthHealthy: crownsGeneral purposes of crowns; not a fixed cavity-depth threshold or a determination that a crown is necessary. Source checked: September 19, 2026.
Open original source ↗AAE: root-canal treatment explainedPatient information on treatment of the pulp inside a tooth and subsequent restoration; requires individual diagnosis. Source checked: September 19, 2026.
Open original source ↗ADA: patient autonomyDental ethics guidance on patient participation and reasonable alternatives; not uniform state law. Source checked: September 19, 2026.
Open original source ↗Medical care and facility follow-up
Patient communication worksheet from the diagnostic-safety toolkit; helps organize a clinical conversation. Source checked: September 19, 2026.
Open original source ↗MedlinePlus: differential diagnosisPatient explanation of possible diagnoses and testing; updated January 20, 2026. Source checked: September 19, 2026.
Open original source ↗AHRQ: reviewing diagnostic safety2022 organizational diagnostic-safety guide; reviews evolving information and possible missed opportunities, not a legal negligence standard. Source checked: September 19, 2026.
Open original source ↗AHRQ: be more engaged in your healthcarePatient advice on sharing information, asking questions, and following up; responsibility for safe care remains with clinicians and organizations. Source checked: September 19, 2026.
Open original source ↗AHRQ: assigning and tracking follow-upPractice guidance on responsibilities, communication, timing, and tracking; not a universal legal deadline. Source checked: September 19, 2026.
Open original source ↗MedlinePlus: recognizing medical emergenciesPatient information on emergency warning signs and calling 911; not an individualized triage assessment. Source checked: September 19, 2026.
Open original source ↗AHRQ: laboratory testing and follow-up2018 practice-improvement toolkit with individualized contact plans. Sample office targets are not universal response rules. Source checked: September 19, 2026.
Open original source ↗MedlinePlus: understanding laboratory resultsPatient information about reference ranges, results, and uncertainty; updated September 4, 2025. Source checked: September 19, 2026.
Open original source ↗RadiologyInfo: understanding your radiology reportRadiology professional societies’ patient resource on report sections, recommendations, and portal availability; reviewed September 1, 2024. Source checked: September 19, 2026.
Open original source ↗AHRQ: planning discharge and pending resultsHospital discharge implementation toolkit covering pending results, assigned reviewers, and follow-up; program targets are not general legal deadlines. Source checked: September 19, 2026.
Open original source ↗HHS: which patient records are accessibleHIPAA designated-record-set scope. Some internal quality or investigation files are outside that set; underlying clinical information may still be accessible. Source checked: September 19, 2026.
Open original source ↗AHRQ: making referrals easierPractice guidance on referral reason, urgency, roles, insurance approval, scheduling, information exchange, and completion; reviewed April 2024. Source checked: September 19, 2026.
Open original source ↗CMS: emergency-room rightsPatient explanation of core EMTALA screening, stabilization, and transfer protections at covered hospital emergency departments. Source checked: September 19, 2026.
Open original source ↗42 CFR 489.24: emergency screening and treatmentFederal EMTALA regulation, including hospital capabilities, transfer conditions, and limits following good-faith inpatient admission. Current through September 17, 2026 when checked. Source checked: September 19, 2026.
Open original source ↗CMS: emergency-room complaint instructionsOfficial complaint instructions, including the State Survey Agency option; a regulatory complaint is separate from a lawsuit. Source checked: September 19, 2026.
Open original source ↗42 CFR 482.13: hospital patient rightsHospital patient-rights regulation, including grievances, written decisions, safe care, and freedom from abuse. Current through September 17, 2026 when checked. Source checked: September 19, 2026.
Open original source ↗HRSA: what to do for possible poisoningUS Poison Help number and immediate assessment for possible poisoning; do not wait for symptoms. Source checked: September 19, 2026.
Open original source ↗America’s Poison Centers: emergency warning signsUS instructions to call 911 for collapse, seizure, breathing difficulty, or inability to awaken. Source checked: September 19, 2026.
Open original source ↗AHRQ PSNet: medication errors and adverse drug eventsExpert patient-safety primer distinguishing medication processes, errors, and harm; reviewed December 2024. Source checked: September 19, 2026.
Open original source ↗AHRQ: reviewing medicines and supplementsPractice guidance on containers, actual use, discrepancies, and updated medicine lists; reviewed February 2024. Source checked: September 19, 2026.
Open original source ↗FDA: managing medicine benefits and risksPatient guidance on instructions, missed-dose questions, interactions, changes, and monitoring; not drug-specific dosing advice. Source checked: September 19, 2026.
Open original source ↗42 CFR 482.1: hospital participation rulesScope of federal hospital Conditions of Participation; other facility types can have different requirements. Source checked: September 19, 2026.
Open original source ↗CMS: hospital grievance interpretive guidanceHospital survey manual, tags A-0118–A-0123. Interprets complaints, response timing, and direct state-agency access; not a rule for every facility. Source checked: September 19, 2026.
Open original source ↗CMS: State Survey Agency contactsOfficial starting directory for facility oversight; confirm the agency’s jurisdiction for the setting and concern. Source checked: September 19, 2026.
Open original source ↗Informed consent and shared decision-making
Medical ethics guidance on capacity, disclosure, options, voluntariness, and documentation.
Open original source ↗ADA types of consentDental guidance emphasizing that informed consent requires a dentist-patient conversation and opportunity for questions.
Open original source ↗ADA patient autonomyProfessional guidance on proposed treatment and reasonable alternatives.
Open original source ↗ADA informed consent and refusalPractice guidance describing consent as an ongoing process rather than only a signature.
Open original source ↗AHRQ SHARE approachA shared decision-making process that considers evidence, benefits, harms, risks, and patient values.
Open original source ↗Patient records and federal rights
Explains HIPAA’s designated record set, clinical notes, and the limits on access to separate psychotherapy notes and some internal files. Source checked: September 30, 2026.
Open original source ↗45 CFR 164.524: access to recordsFederal access rule: response periods, formats, permitted fees, and denials. Applies within HIPAA’s scope. Source checked: September 30, 2026.
Open original source ↗45 CFR 164.526: amendment requestsFederal amendment process, response periods, denial grounds, and statements of disagreement. Source checked: September 30, 2026.
Open original source ↗HHS: your medical recordsPatient guidance on copies, fees, unpaid treatment bills, and corrections. Read its court-decision qualification when considering other kinds of requests. Source checked: September 30, 2026.
Open original source ↗HHS: Get it. Check it. Use it.Patient-facing health-record access information.
Open original source ↗HHS HIPAA for individualsPrivacy rights and federal complaint starting points.
Open original source ↗HHS Office for Civil RightsCurrent federal complaint information within OCR jurisdiction.
Open original source ↗Professional and facility routes
National starting directory for state dental authorities.
Open original source ↗State medical boards directoryFederation of State Medical Boards directory.
Open original source ↗Boards of nursingNCSBN directory of U.S. nursing regulators.
Open original source ↗Boards of pharmacyNABP directory of boards of pharmacy.
Open original source ↗CMS state survey agenciesOfficial state contacts for regulated facility oversight.
Open original source ↗CMS EMTALA complaint informationFederal emergency-room rights and complaint starting point.
Open original source ↗Pressure, ownership, and patient safety
Agency inquiry into consolidation, ownership, quality, worker safety, and affordability.
Open original source ↗HHS OIG patient-harm reporting2025 findings on limited external reporting of captured harm events.
Open original source ↗AHRQ diagnostic errorsPatient-safety primer on diagnostic error and follow-up systems.
Open original source ↗AHRQ nursing workforce and safetyStaffing, workload, skill, resources, and unfinished nursing care.
Open original source ↗AMA physician compensation reportProductivity and other components in physician compensation.
Open original source ↗ADA dentist compensationExamples of dental compensation arrangements; not a prevalence estimate.
Open original source ↗ADA clinical-autonomy ethics paperA professional-association ethics paper examining how production and collections incentives can affect clinical autonomy.
Open original source ↗ADEA dental-school debtDental-graduate debt data and methodology.
Open original source ↗ADA dentist ownership trendsPractice ownership and DSO-affiliation context.
Open original source ↗Practitioner discussion and issue discovery
Billing, insurance, and legal starting points
Explains prior approval and why it is not a promise that a plan will pay the cost. Source checked: September 30, 2026.
Open original source ↗CMS: good faith estimatesExpected charges when not using insurance, advance scheduling, and separate provider or facility estimates; not a guarantee of a final bill. Source checked: September 30, 2026.
Open original source ↗CMS: disputing a bill above the estimatePatient-provider dispute eligibility, including a good faith estimate, a charge at least $400 above it from one provider or facility, and the 120-day initial-bill limit. Source checked: September 30, 2026.
Open original source ↗CMS: medical bill rightsStarting point for certain unexpected out-of-network bills and estimate problems. Applicability depends on the coverage, service, and setting. Source checked: September 30, 2026.
Open original source ↗CMS: reading an explanation of benefitsExplains provider charges, allowed amounts, plan payments, and patient balances; an EOB is not a bill.
Open original source ↗HealthCare.gov: appeal a coverage decisionOverview of internal appeals and external review; confirm the rules for the applicable plan.
Open original source ↗CMS documentation guidanceMedical-record support for billed diagnosis and procedure codes.
Open original source ↗ADA claim-accuracy guidanceTreating-dentist responsibility for accurate claims.
Open original source ↗ADA least-expensive-alternative guidanceHow a plan may base payment on a less expensive treatment than the one provided.
Open original source ↗ADA D2950 core-buildup coverage exampleA dental procedure-specific example of coverage limits and clinical documentation.
Open original source ↗ADA typical benefit limitsExamples of annual maximums, frequency limits, and other dental-plan provisions.
Open original source ↗State insurance departmentsNAIC directory of state insurance regulators.
Open original source ↗Public lawyer-referral directoryAmerican Bar Association public referral starting point.
Open original source ↗