A private review agent or utilization review entity shall render a prior authorization or adverse determination concerning urgent healthcare services and notify such person’s healthcare provider, or such provider’s appropriately qualified designee, of that prior authorization or adverse determination no later than 72 hours after receiving all information needed to complete the review of the requested healthcare services.
History. Code 1981, § 33-46-27 , enacted by Ga. L. 2021, p. 629, § 2/SB 80.
Structure Georgia Code
Chapter 46 - Certification of Private Review Agents
Article 2 - Prior Authorizations
§ 33-46-20. Prior Authorization Requirements Posted on Website; Statistical Reporting
§ 33-46-22. Review of Appeals by Appropriate Healthcare Provider
§ 33-46-23. Restrictions on Authorizations When Service Timely Rendered
§ 33-46-24. Medically Necessary Unanticipated Emergency or Urgent Healthcare Services
§ 33-46-26. Timely Notification of Prior Authorization or Adverse Determination
§ 33-46-27. Notification Time for Prior Authorization or Adverse Determination
§ 33-46-28. Honoring of Prior Authorizations
§ 33-46-29. Noncompliance Resulting in Automatic Authorization
§ 33-46-30. Mandatory Compliance
§ 33-46-31. Role of Commissioner; Compliance Enforced by Department of Community Health