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95 chapters · 3,921 sections in this title.
Ark. Code Ann. § 23-99-1109 Rescission of prior authorizations — Denial of payment for prior authorized services — Limitations
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(a) A decision on a request for prior authorization by a utilization review entity shall include a determination as to whether or not the individual is covered by a health benefit plan and eligible to receive the requested service under the health benefit plan. (b) (1) A utilizat…
Ark. Code Ann. § 23-99-1110 Waiver prohibited
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(a) The provisions of this subchapter shall not be waived by contract. (b) Any contractual arrangements or actions taken in conflict with this subchapter or that purport to waive any requirements of this subchapter are void.
Ark. Code Ann. § 23-99-1111 Requests for prior authorization — Qualified persons authorized to review and approve — Adverse determinations to be made only by Arkansas-licensed physicians — Opportunity to discuss treatment before adverse determination
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(a) The initial review of information submitted in support of a request for prior authorization may be conducted by a qualified person employed or contracted by a utilization review entity. (b) (1) A request for prior authorization may be approved by a qualified person employed o…
Ark. Code Ann. § 23-99-1112 Application of subchapter
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(1) This subchapter applies to a healthcare insurer, whether or not the healthcare insurer is:(1) Acting directly or indirectly through a private utilization review entity; or(2) Located in this state. (1) Acting directly or indirectly through a private utilization review entity;…