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Section 38-70-10. Definitions. - As used in this chapter: (1) "Utilization review" means a...
Section 38-70-15. Applicability of chapter. - This chapter applies to insurance companies, administrators of insurance benefit...
Section 38-70-20. Certificate to perform activities; applications; fees; minimum standards; confidentiality of records. - (A) No private review agent may conduct utilization reviews in...
Section 38-70-30. Renewal of certificate. - A certificate must be renewed on the second anniversary of...
Section 38-70-40. Periodic review of operations of private review agents; telephone audits; complaints; fines; denial, suspension or revocation of certificate; hearings. - (A) The director or his designee may conduct periodic reviews...
Section 38-70-50. Application and registration fees. - (A) Every private review agent, before transacting business in this...
Section 38-70-60. Promulgation of regulations to enforce chapter. - The department, after consultation with payers, providers, utilization review agents,...