Official Code of Georgia Annotated

Title 33. INSURANCE · Chapter 46. CERTIFICATION OF PRIVATE REVIEW AGENTS · Article 1. GENERAL PROVISIONS

33-46-5. Certification of private review agents; exemption.

Active

Current through: Including Acts of the 2025 Regular Session of the General Assembly.

(a)
A private review agent or utilization review entity may not conduct utilization review of healthcare provided in this state unless the Commissioner has granted the private review agent or utilization review entity a certificate pursuant to this chapter. No individual conducting utilization review shall require certification if such utilization review is performed within the scope of such person’s employment with an entity already certified pursuant to this Code section.#
(b)
The Commissioner shall issue a certificate to an applicant that has met all the requirements of this chapter and all applicable regulations of the Commissioner.#
(c)
A certificate issued under this chapter is not transferable without the prior approval of the Commissioner.#

The notes below are printed with the section but are not enacted law (O.C.G.A. § 1-1-1(c)). They are shown apart from the text.

History

Code 1981, § 33-46-3, enacted by Ga. L. 1990, p. 1088, § 1; Code 1981, § 33-46-5, as redesignated by Ga. L. 2021, p. 629, § 2/SB 80.

Amendments

The 2021 amendment, effective January 1, 2022, redesignated former Code Section 33-46-3 as this Code section, and, in the first sentence of subsection (a), inserted “or utilization review entity” in two places and substituted “healthcare” for “health care”.

Editor's notes

Ga. L. 2021, p. 629, § 2/SB 80, effective January 1, 2022, redesignated former Code Section 33-46-5 as present Code Section 33-46-7.

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Current through: Including Acts of the 2025 Regular Session of the General Assembly.

Text read from t33-ch23-66-(v25)-pdf.pdf, Volume V25, 2020 edition, 2025 supplement, pages 138 to 139; merge action: replaced; file SHA-256 e6be8da2a3c1.

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