Chapter 83 - UTILIZATION REVIEW OF AVAILABILITY OF HOSPITAL RESOURCES AND MEDICAL SERVICES
- Section 41-83-1 - Definitions
- Section 41-83-3 - Certificate requirement for utilization review; nontransferability; disclosure to public
- Section 41-83-5 - Certificate requirement for general in-house utilization review; exemptions
- Section 41-83-7 - Application for certificate; fees
- Section 41-83-9 - Submission of information in conjunction with application
- Section 41-83-11 - Expiration date of certificate; renewal; fees
- Section 41-83-13 - Grounds for denial or revocation of certificate; time to supply additional information; hearing
- Section 41-83-15 - Reporting requirements to evaluate and determine compliance
- Section 41-83-17 - Disclosure or publication of information; consent or authorization; court order
- Section 41-83-19 - Penalties for violations
- Section 41-83-21 - Certification of need of immediate hospital care; prima facie evidence
- Section 41-83-23 - Judicial review; other remedies
- Section 41-83-25 - Health insurance plans; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
- Section 41-83-27 - Other health insurance policies; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
- Section 41-83-29 - Group or blanket health insurance policies; certificate requirement; contract with private review agent
- Section 41-83-31 - Adverse determination to patient or health-care provider; discussion of reasons; denial of third party reimbursement or precertification; evaluation by trained specialist