Retrospective denial

N.D.C.C. § 26.1-36.12-09 — under Prior Authorization for Health Insurance.

N.D.C.C. § 26.1-36.12-09

A prior authorization review organization may not revoke, limit, condition, or restrict a prior authorization if care is provided within forty-five business days from the date the health care provider received the prior authorization unless there is evidence the prior authorization was based on fraud.