A private review agent who approves or denies payment or who recommends approval or denial of payment for hospital or medical services or whose review results in approval or denial of payment for hospital or medical services on a case-by-case basis may not conduct utilization review in this state unless the State Board of Health has granted the private review agent a certificate.
Section: Previous 20-9-902 20-9-903 20-9-904 20-9-905 20-9-906 20-9-907 20-9-908 20-9-909 20-9-910 20-9-911 20-9-912 20-9-913 20-9-914 NextLast modified: November 15, 2016