™Your Policy Risk Impact Agent
53 chapters · 1,082 sections in this title.
AS 21.07.005 Regulations relating to health care insurance policies.
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(a) The director shall adopt regulations to provide standards and criteria for (1) the structure and operation of utilization review and benefit determination processes; (2) the establishment and maintenance of procedures by health care insurers to ensure that a covered individua…
AS 21.07.010 Patient and health care provider protection.
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(a) A contract between a participating health care provider and a health care insurer must contain a provision that (1) provides for a reasonable mechanism to identify all medical care services to be provided by the health care insurer; (2) clearly states or references an attachm…
AS 21.07.020 Required contract provisions for health care insurance policy.
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A health care insurance policy must contain a provision (1) that preauthorization for a covered medical procedure on the basis of medical necessity may not be retroactively denied unless the preauthorization is based on materially incomplete or inaccurate information provided by …
AS 21.07.030 Choice of health care provider.
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(a) If a health care insurer offers a health care insurance policy that provides for coverage of medical care services only if the services are furnished through a network of health care providers that have entered into a contract with the health care insurer, the health care ins…