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Utah Code Title 31A. Insurance Code § 31A-22-639. Statement of preauthorization

Current as of January 01, 2025 | Updated by Findlaw Staff

(1) An insurer who requires preauthorization or preapproval for coverage under accident and health insurance shall, beginning January 1, 2011, provide an enrollee with a statement of preauthorization if:

(a) the applicable CPT codes have been submitted to the insurer to determine whether a particular procedure is covered under the terms of the accident and health insurance policy;

(b) the enrollee has met the requirements for preauthorization of the procedure or encounter; and

(c) the enrollee requests a statement of preauthorization.

(2) A statement of preauthorization under Subsection (1) may be sent:

(a) by mail; or

(b) electronically.

(3) A statement of preauthorization shall include a statement that the preauthorization is:

(a) not a guarantee of payment by an insurer; and

(b) subject to the policy and contract provisions of the accident and health insurance contract.

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Cite this article: FindLaw.com - Utah Code Title 31A. Insurance Code § 31A-22-639. Statement of preauthorization - last updated January 01, 2025 | https://codes.findlaw.com/ut/title-31a-insurance-code/ut-code-sect-31a-22-639/

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