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Louisiana Revised Statutes Tit. 22, § 1260.43. Single utilization review per episode of care

Current as of January 01, 2023 | Updated by Findlaw Staff

A health insurance issuer shall not impose any additional utilization review requirement with respect to any surgical procedure or otherwise invasive procedure, nor any item furnished as part of the surgical or invasive procedure, if the procedure or item is furnished during the perioperative period of a procedure and either of the following conditions is met:

(1) Prior authorization was received by the healthcare provider from the health insurance issuer before the surgical procedure or item, as part of the surgical or otherwise invasive procedure, was furnished.

(2) Prior authorization was not required by the health insurance issuer.

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Cite this article: FindLaw.com - Louisiana Revised Statutes Tit. 22, § 1260.43. Single utilization review per episode of care - last updated January 01, 2023 | https://codes.findlaw.com/la/revised-statutes/la-rev-stat-tit-22-sect-1260-43/

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.

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