North Dakota § 26.1-36.12-07 Prior authorization - Emergency medical condition

North Dakota Statutes

§ 26.1-36.12-07 — Prior authorization - Emergency medical condition

North Dakota § 26.1-36.12-07

Title 26.1Insurance

Ch. 26.1-36.12Prior Authorization for Health Insurance

This text of North Dakota § 26.1-36.12-07 (Prior authorization - Emergency medical condition) 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 § 26.1-36.12-07 (2026).

Text

1.A prior authorization review organization may not require prior authorization for prehospital transportation or for the provision of emergency health care services for an emergency medical condition.

2.A prior authorization review organization shall allow an enrollee and the enrollee's health care provider a minimum of two business days following an emergency admission or provision of emergency health care services for an emergency medical condition for the enrollee or health care provider to notify the prior authorization review organization of the admission or provision of health care services.

3.The medical necessity or appropriateness of emergency health care services for an emergency medical condition may not be based on whether those services were provided by participating or no

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

1. A prior authorization review organization may not require prior authorization for
prehospital transportation or for the provision of emergency health care services for an
emergency medical condition.
2. A prior authorization review organization shall allow an enrollee and the enrollee's
health care provider a minimum of two business days following an emergency
admission or provision of emergency health care services for an emergency medical
condition for the enrollee or health care provider to notify the prior authorization review
organization of the admission or provision of health care services.
3. The medical necessity or appropriateness of emergency health care services for an
emergency medical condition may not be based on whether those services were
provided by participating or nonparticipating providers.

4. If an enrollee receives an emergency health care service that requires immediate
postevaluation or poststabilization services, a prior authorization review organization
shall make an authorization determination within two business days of receiving a
request. If the authorization determination is not made within two business days, the
services must be deemed approved.