This text of North Dakota § 26.1-26.4-01 (Purpose and scope) is published on Counsel Stack Legal Research, covering North Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
This chapter applies to grandfathered health plans unless a health care insurer or utilization
review agent determines to extend the protections of section 26.1-36-47 to a grandfathered
plan. "Grandfathered health plan" has the meaning stated in the Patient Protection and
Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and Education
Reconciliation Act of 2010 [Pub. L. 111-152]. The purpose of this chapter is to:
1.Promote the delivery of quality health care in a cost-effective manner;
2.Assure that utilization review agents adhere to reasonable standards for conducting
utilization review;
3.Foster greater coordination and cooperation between health care providers and
utilization review agents;
4.Improve communications and knowledge of benefits among all parties con
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This chapter applies to grandfathered health plans unless a health care insurer or utilization
review agent determines to extend the protections of section 26.1-36-47 to a grandfathered
plan. "Grandfathered health plan" has the meaning stated in the Patient Protection and
Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and Education
Reconciliation Act of 2010 [Pub. L. 111-152]. The purpose of this chapter is to:
1. Promote the delivery of quality health care in a cost-effective manner;
2. Assure that utilization review agents adhere to reasonable standards for conducting
utilization review;
3. Foster greater coordination and cooperation between health care providers and
utilization review agents;
4. Improve communications and knowledge of benefits among all parties concerned
before expenses are incurred; and
5. Ensure that utilization review agents maintain the confidentiality of medical records in
accordance with applicable laws.