Any health insurer proposing to issue or deliver in this state a group or blanket health insurance policy or administer a health benefit program which provides for the coverage of hospital and medical benefits and the utilization review of such benefits shall:
Have a certificate in accordance with this chapter; or
Contract with a private review agent that has a certificate in accordance with this chapter.
Structure Mississippi Code
Chapter 83 - Utilization Review of Availability of Hospital Resources and Medical Services
§ 41-83-5. Certificate requirement for general in-house utilization review; exemptions
§ 41-83-9. Submission of information in conjunction with application
§ 41-83-15. Reporting requirements to evaluate and determine compliance
§ 41-83-17. Disclosure or publication of information; consent or authorization; court order
§ 41-83-19. Penalties for violations
§ 41-83-21. Certification of need of immediate hospital care; prima facie evidence