37 chapters · 1,713 sections in this title.
Mont. Code Ann. § 33-33-101 Purpose
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The legislature recognizes that property and casualty insurers providing coverage for medical expenses or liability coverage for bodily injury may need, with respect to some claims, to seek medical reviews from qualified utilization review organizations so that an insurer may use…
Mont. Code Ann. § 33-33-102 Scope -- Rulemaking
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(1) This chapter applies to property and casualty insurers seeking utilization review opinions and to utilization review organizations that provide opinions with respect to property and casualty insurance contracts issued in this state. (2) The commissioner may adopt rules to imp…
Mont. Code Ann. § 33-33-103 Definitions
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As used in this chapter, the following definitions apply: (1) "Utilization review" has the meaning provided in 33-32-102. (2) "Utilization review organization" means an entity that provides utilization review services.
Mont. Code Ann. § 33-33-201 Standards For Utilization Review Organizations
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(1) A utilization review organization that conducts utilization reviews in this state for property and casualty insurers shall meet the standards set forth in this part. (2) Utilization review organizations may use only licensed or certified health care professionals to conduct u…