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North Dakota Century Code Title 26.1. Insurance § 26.1-26.4-01. Purpose and scope

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This chapter applies to grandfathered health plans unless a health care insurer or utilization review agent determines to extend the protections of section 26.1-36-47 to a grandfathered plan.  “Grandfathered health plan” has the meaning stated in the Patient Protection and Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and Education Reconciliation Act of 2010 [Pub. L. 111-152].  The purpose of this chapter is to:

1. Promote the delivery of quality health care in a cost-effective manner;

2. Assure that utilization review agents adhere to reasonable standards for conducting utilization review;

3. Foster greater coordination and cooperation between health care providers and utilization review agents;

4. Improve communications and knowledge of benefits among all parties concerned before expenses are incurred;  and

5. Ensure that utilization review agents maintain the confidentiality of medical records in accordance with applicable laws.

Cite this article: - North Dakota Century Code Title 26.1. Insurance § 26.1-26.4-01. Purpose and scope - last updated January 01, 2020 |

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