Legislation
TITLE 1
Certification of Agents and Utilization Review Process
Public Health (PBH) CHAPTER 45, ARTICLE 49
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SECTION 4900Definitions
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SECTION 4901Registration of utilization review agents
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SECTION 4902Utilization review program standards
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SECTION 4903Utilization review determinations
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SECTION 4904Appeal of adverse determinations by utilization review agents
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SECTION 4905Required and prohibited practices
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SECTION 4906Waiver
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SECTION 4907Rights and remedies
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SECTION 4908Applicability to ERISA Plans
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SECTION 4909Site of service clinical review
TITLE I
CERTIFICATION OF AGENTS AND UTILIZATION REVIEW PROCESS
Section 4900. Definitions.
4901. Registration of utilization review agents.
4902. Utilization review program standards.
4903. Utilization review determinations.
4904. Appeal of adverse determinations by utilization review
agents.
4905. Required and prohibited practices.
4906. Waiver.
4907. Rights and remedies.
4908. Applicability to ERISA Plans.
4909. Site of service clinical review.
CERTIFICATION OF AGENTS AND UTILIZATION REVIEW PROCESS
Section 4900. Definitions.
4901. Registration of utilization review agents.
4902. Utilization review program standards.
4903. Utilization review determinations.
4904. Appeal of adverse determinations by utilization review
agents.
4905. Required and prohibited practices.
4906. Waiver.
4907. Rights and remedies.
4908. Applicability to ERISA Plans.
4909. Site of service clinical review.