Utah § 31A-22-639 Statement of preauthorization.

Utah Statutes

§ 31A-22-639 — Statement of preauthorization.

Utah § 31A-22-639

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-6Accident and Health Insurance

This text of Utah § 31A-22-639 (Statement of preauthorization.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-639 (2026).

Text

(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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(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 insurer; and
(3)(b) subject to the policy and contract provisions of the accident and health insurance contract.