Series 114-95 - Utilization Review and Benefit Determination
- Section 114-95-1 - General
- Section 114-95-2 - Definitions
- Section 114-95-3 - Corporate Oversight of Utilization Review Program
- Section 114-95-4 - Contracting
- Section 114-95-5 - Scope and Content of Utilization Review Program
- Section 114-95-6 - Operational Requirements
- Section 114-95-7 - Procedures for Standard Utilization Review and Benefit Determinations
- Section 114-95-8 - Procedures for Expedited Utilization Review and Benefit Determinations
- Section 114-95-9 - Emergency Services
- Section 114-95-10 - Confidentiality Requirements
- Section 114-95-11 - Disclosure Requirements
- Section 114-95-12 - Penalties