Terms Used In South Carolina Code 38-70-10

• Certificate: means a renewable certificate of registration granted by the director or his designee to a private review agent, authorizing the agent to perform utilization review activities in this State for two years. See South Carolina Code 38-70-10
• Contract: A legal written agreement that becomes binding when signed.
• Department: means the Department of Insurance of South Carolina. See South Carolina Code 38-1-20
• Designee or deputy director: means the person or persons appointed by the director, serving at the will and pleasure of the director as his designee, to supervise and carry out the functions and duties of the department as provided by law. See South Carolina Code 38-1-20
• Director: means the person who is appointed by the Governor upon the advice and consent of the Senate and who is responsible for the operation and management of the department. See South Carolina Code 38-1-20
• Director or his designee: means the director or his designee of the South Carolina Department of Insurance. See South Carolina Code 38-70-10
• insurance: includes annuities. See South Carolina Code 38-1-20
• Person: means a corporation, agency, partnership, association, voluntary organization, individual, or another entity, organization, or aggregation of individuals. See South Carolina Code 38-1-20
• Private review agent: means a person performing utilization reviews who is either under contract with or acting on behalf of, but not employed by:
  
  (a) a South Carolina business entity;
  
  (b) the State of South Carolina; or
  
  (c) a hospital. See South Carolina Code 38-70-10
• Utilization review: means a system for reviewing the necessary, appropriate, and efficient allocation of health care resources and services given or proposed to be given to a patient or group of patients. See South Carolina Code 38-70-10