Arizona Revised Statutes Title 20. Insurance § 20-3153. Health care insurer liability

1. The health care insurer delayed authorizing or failed to authorize the requested health care services or denied payment of the covered benefits without a reasonable basis for that action.

2. The health care insurer knew that it acted without a reasonable basis or failed to perform an investigation or evaluation adequate to determine whether its action was supported by a reasonable basis.

1. Is liable under this section if the insurer's conduct was a cause of the enrollee's damages and if the damages would not have occurred without that conduct.

2. Is not liable under this section if the insurer's conduct under this section was inadvertent or unintentional.