(1) The purpose of this subchapter is to:(1) Promote the delivery of quality health care in a cost-effective manner;(2) Foster greater coordination between payors and providers conducting utilization review activities;(3) Protect patients, business, and providers by ensuring that private review agents are qualified to perform utilization activities and to make informed decisions on the appropriateness of medical care; and(4) Ensure that private review agents maintain the confidentiality of medical records.
(1) Promote the delivery of quality health care in a cost-effective manner;
(2) Foster greater coordination between payors and providers conducting utilization review activities;
(3) Protect patients, business, and providers by ensuring that private review agents are qualified to perform utilization activities and to make informed decisions on the appropriateness of medical care; and
(4) Ensure that private review agents maintain the confidentiality of medical records.