North Dakota Statutes

§ 26.1-26.4-03 — Certification

North Dakota § 26.1-26.4-03
JurisdictionNorth Dakota
Title 26.1Insurance
Ch. 26.1-26.4Health Care Service Utilization Review

This text of North Dakota § 26.1-26.4-03 (Certification) 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.

Bluebook
N.D. Cent. Code § 26.1-26.4-03 (2026).

Text

A utilization review agent may not conduct utilization review in this state unless the utilization review agent has certified to the commissioner in writing that the agent is in compliance with section 26.1-26.4-04. Certification must be made annually on or before March first of each calendar year. In addition, a utilization review agent must file the following information:

1.The name, address, telephone number, and normal business hours of the utilization review agent.
2.The name and telephone number of a person for the commissioner to contact.
3.A description of the appeal procedures for utilization review determinations.
4.A list of the third-party payers for whom the private review agent is performing utilization review in the state. A provider may request that a utilization review

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

Nearby Sections

15
View on official source ↗

Cite This Page — Counsel Stack

Bluebook (online)
North Dakota § 26.1-26.4-03, Counsel Stack Legal Research, https://law.counselstack.com/statute/nd/26.1-26.4-03.