Requires collection of data by health insurers regarding health insurance claims and decisions made using automated utilization management systems.
Updates requirements and standards for authorization and prior authorization of health care services.
Health Insurance – Utilization Review – Revisions
Health Insurance - Utilization Review - Revisions
Prior authorization; impose certain requirements on health insurance issuers regarding.
Prohibits health insurance carriers from denying payment of claim while seeking coordination of benefits information.
Concerning Artificial Intelligence, Algorithms, And Other Automated Technologies; And To Regulate Certain Practices Of Healthcare Insurers.
Health Insurance - Utilization Review - Revisions
Health Insurance - Utilization Review - Revisions
Prohibits downcoding in health insurance claims.