TITLE 33. INSURANCE AND INSURANCE COMPANIES

CHAPTER 32. HEALTH UTILIZATION REVIEW

Part 2. Utilization Review -- Conduct

Corporate Oversight Of Utilization Review Program

33-32-205. Corporate oversight of utilization review program. A health insurance issuer is responsible for:

(1) monitoring all utilization review activities carried out by or on behalf of the health insurance issuer;

(2) ensuring that all requirements of this part and rules adopted pursuant to this part are met; and

(3) ensuring that appropriate personnel have operational responsibility for the conduct of the health insurance issuer's utilization review program.

History: En. Sec. 1, Ch. 428, L. 2015.