Utah Statutes
§ 31A-22-639 — Statement of preauthorization.
Utah·Title 31A Insurance Code·Ch. 31A-22 Contracts in Specific Lines·Part 31A-22-6 Accident and Health Insurance
(1)An insurer who requires preauthorization or preapproval for coverage under accident and health insurance shall, beginning January 1, 2011, provide an enrollee with a statement of preauthorization if:
(1)(a) the applicable CPT codes have been submitted to the insurer to determine whether a particular procedure is covered under the terms of the accident and health insurance policy;
(1)(b) the enrollee has met the requirements for preauthorization of the procedure or encounter; and
(1)(c) the enrollee requests a statement of preauthorization.
(2)A statement of preauthorization under Subsection (1) may be sent:
(2)(a) by mail; or
(2)(b) electronically.
(3)A statement of preauthorization shall include a statement that the preauthorization is:
(3)(a) not a guarantee of payment by an ins
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Legislative History
Enacted by Chapter 204, 2010 General Session
Nearby Sections
15
§ 31A-1-101
Short title.§ 31A-1-102
Purposes.§ 31A-1-103
Scope and applicability of title.§ 31A-1-104
Authorization to do insurance business.§ 31A-1-105
Presumption of jurisdiction.§ 31A-1-106
Residual unlicensed domestic insurers.§ 31A-1-107
Licensees under former Title 31.§ 31A-1-108
Corporations in the process of organizing.§ 31A-1-109
Name of licensee.§ 31A-1-110
Scope of a license.§ 31A-1-201
Construction.§ 31A-1-202
Effect of repeal of former provisions.§ 31A-1-203
Interpretive rules.§ 31A-1-205
Severability.§ 31A-1-301
Definitions.