Chapter 37.5 - HEALTH CARE SERVICE PRIOR AUTHORIZATION

Section 27-1-37.5-1 - Application of chapter
Section 27-1-37.5-1.5 - "Adverse determination"
Section 27-1-37.5-1.7 - "Clinical peer"
Section 27-1-37.5-2 - "Covered individual"
Section 27-1-37.5-3 - "CPT code"
Section 27-1-37.5-4 - "Health care service"
Section 27-1-37.5-5 - "Health plan"
Section 27-1-37.5-6 - "Participating provider"
Section 27-1-37.5-7 - "Prior authorization"
Section 27-1-37.5-8 - "Urgent care situation"
Section 27-1-37.5-9 - Availability of prior authorization information; requirements; new requirements; address change; notices
Section 27-1-37.5-10 - Request for prior authorization; electronic transmission; standardized form
Section 27-1-37.5-11 - Response to request for prior authorization; timing; incomplete request
Section 27-1-37.5-12 - Claim for which prior authorization was given; denial; resubmission of claim
Section 27-1-37.5-13 - Unanticipated, medically necessary health care service; denial; payment for health care service with prior authorization
Section 27-1-37.5-13.5 - State employee health plan prohibited from requiring prior authorization for certain CPT codes; retroactive denial; review of impact
Section 27-1-37.5-14 - Contrary contract provision void
Section 27-1-37.5-15 - Violation of chapter
Section 27-1-37.5-16 - Department of insurance; standardized prior authorization form
Section 27-1-37.5-17 - Peer to peer review; request