North Dakota § 26.1-26.4-04.1 Utilization review in this state - Conditions of employment

North Dakota Statutes

§ 26.1-26.4-04.1 — Utilization review in this state - Conditions of employment

North Dakota § 26.1-26.4-04.1

Title 26.1Insurance

Ch. 26.1-26.4Health Care Service Utilization Review

This text of North Dakota § 26.1-26.4-04.1 (Utilization review in this state - Conditions of employment) 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 § 26.1-26.4-04.1 (2026).

Text

A utilization review agent is deemed to be conducting utilization review in this state if the
agent conducts utilization review involving services rendered or to be rendered in the state
regardless of where the agent actually performs the utilization review. No person may be
employed or compensated as a private review agent under any agreement or contract when
compensation of the review agent is contingent upon a denial or reduction in the payment for
hospital, medical, or other health care services.

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A utilization review agent is deemed to be conducting utilization review in this state if the
agent conducts utilization review involving services rendered or to be rendered in the state
regardless of where the agent actually performs the utilization review. No person may be
employed or compensated as a private review agent under any agreement or contract when
compensation of the review agent is contingent upon a denial or reduction in the payment for
hospital, medical, or other health care services.