20-2530. Definitions
For the purposes of this article:
1. " Member" means a person who is covered under a health care plan provided by a health care insurer or that person's treating provider, parent, legal guardian, surrogate who is authorized to make health care decisions for that person by a power of attorney, a court order or the provisions of section 36-3231, or agent who is an adult and who has the authority to make health care treatment decisions for that person pursuant to a health care power of attorney.
2. " Utilization review agent" means those persons and entities that perform utilization review as defined in section 20-2501 and includes any health care insurer whose utilization review plan includes the direct or indirect denial of requested medical or health care services or the denial of claims.
Section: Previous 20-2505 20-2506 20-2507 20-2508 20-2509 20-2510 20-2511 20-2530 20-2531 20-2532 20-2533 20-2534 20-2535 20-2536 20-2537 NextLast modified: October 13, 2016