Certification of Private Review Agents; Exemption

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  2. Georgia Code
  3. Insurance
  4. Certification of Private Review Agents
  5. Certification of Private Review Agents; Exemption

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  1. A private review agent may not conduct utilization review of health care provided in this state unless the Commissioner has granted the private review agent a certificate pursuant to this chapter. No individual conducting utilization review shall require certification if such utilization review is performed within the scope of such person's employment with an entity already certified pursuant to this Code section.
  2. The Commissioner shall issue a certificate to an applicant that has met all the requirements of this chapter and all applicable regulations of the Commissioner.
  3. A certificate issued under this chapter is not transferable without the prior approval of the Commissioner.

(Code 1981, §33-46-3, enacted by Ga. L. 1990, p. 1088, § 1.)


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