Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

The purpose of this chapter is to:
(1) promote the delivery of quality health care in a cost-effective manner;
(2) ensure that a utilization review agent adheres to reasonable standards for conducting utilization review;
(3) foster greater coordination and cooperation between a health care provider and utilization review agent;
(4) improve communications and knowledge of benefits among all parties concerned before an expense is incurred; and
(5) ensure that a utilization review agent maintains the confidentiality of medical records in accordance with applicable law.