Title 20 — Insurance
29 chapters · 1,539 sections in this title.
A.R.S. § 20-2801 Definitions
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In this chapter, unless the context otherwise requires: 1. "Coverage" means the contractual obligation of a health care services plan to pay its enrollee or a contracted or noncontracted provider for medically necessary emergency services rendered by the provider to an enrollee, …
A.R.S. § 20-2802 Scope of chapter
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A. This chapter does not apply to: 1. A provider employed by or under contract with the enrollee's health care services plan. 2. A health care services plan administered under title 36. 3. A health care services plan that only covers health care expenses incurred by an enrollee w…
A.R.S. § 20-2803 Emergency services access; prior authorization; requirements
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A. A health care services plan shall provide coverage for an initial medical screening examination and any immediately necessary stabilizing treatment required by the emergency medical treatment and active labor act (P.L. 99-272; 100 Stat. 164; 42 United States Code section 1395d…
A.R.S. § 20-2804 Utilization review; medically necessary emergency services
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A. A health care services plan engaging in utilization review to determine whether any emergency services rendered by a provider were medically necessary and in accordance with this chapter shall consider the following factors: 1. Current emergency medical literature and standard…