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Certification of Agents and Utilization Review Process

  1. Law
  2. New York Laws
  3. Public Health
  4. Utilization Review and External Appeal
  5. Certification of Agents and Utilization Review Process

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Section
4900

Definitions.

Section
4901

Registration of Utilization Review Agents.

Section
4902

Utilization Review Programs Standards.

Section
4903

Utilization Review Determinations.

Section
4904

Appeal of Adverse Determinations by Utilization Review Agents.

Section
4905

Required and Prohibited Practices.

Section
4906

Waiver.

Section
4907

Rights and Remedies.

Section
4908

Applicability to Erisa Plans.

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