Louisiana § 22:1260.43 Single utilization review per episode of care

Louisiana Statutes

§ 22:1260.43 — Single utilization review per episode of care

Louisiana § 22:1260.43

Title 22Insurance

This text of Louisiana § 22:1260.43 (Single utilization review per episode of care) is published on Counsel Stack Legal Research, covering Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

La. Stat. Ann. § 22:1260.43 (2026).

Text

§1260.43. Single utilization review per episode of care A health insurance issuer shall not impose any additional utilization review requirement with respect to any surgical procedure or otherwise invasive procedure, nor any item furnished as part of the surgical or invasive procedure, if the procedure or item is furnished during the perioperative period of a procedure and either of the following conditions is met:

(1)Prior authorization was received by the healthcare provider from the health insurance issuer before the surgical procedure or item, as part of the surgical or otherwise invasive procedure, was furnished.

(2)Prior authorization was not required by the health insurance issuer.

Free access — add to your briefcase to read the full text and ask questions with AI

§1260.43. Single utilization review per episode of care
A health insurance issuer shall not impose any additional utilization review
requirement with respect to any surgical procedure or otherwise invasive procedure, nor any
item furnished as part of the surgical or invasive procedure, if the procedure or item is
furnished during the perioperative period of a procedure and either of the following
conditions is met:
(1) Prior authorization was received by the healthcare provider from the health
insurance issuer before the surgical procedure or item, as part of the surgical or otherwise
invasive procedure, was furnished.
(2) Prior authorization was not required by the health insurance issuer.