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93 chapters · 1,453 sections in this title.
Ala. Code § 27-3A-1 Short Title
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This chapter may be cited as the “Health Care Service Utilization Review Act.” (Acts 1994, 1st Ex. Sess., No. 94-786, p. 80, §1.)
Ala. Code § 27-3A-2 Purposes
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The purposes of this chapter are 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 hea…
Ala. Code § 27-3A-3 Definitions
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As used in this chapter, the following words and phrases shall have the following meanings: (1) DEPARTMENT. The Alabama Department of Public Health. (2) ENROLLEE. An individual who has contracted for or who participates in coverage under an insurance policy, a health maintenance …
Ala. Code § 27-3A-4 Duties of Utilization Review Agents
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(a) Utilization review agents shall adhere to the minimum standards set forth in Section 27-3A-5. (b) On or after July 1, 1994, a utilization review agent shall not conduct a utilization review in this state unless the agent has certified to the department in writing that the age…