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Official Code of Georgia Annotated

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

33-46-7. Certificate application fees; information to be submitted with application.

Active

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

  1. (a)

    An applicant for a certificate shall submit an application on a form prescribed by the Commissioner and pay an application fee and a certificate fee as provided in Code Section 33-8-1. The application shall be signed and verified by the applicant.#

  2. (b)

    In conjunction with the application, the private review agent or utilization review entity shall submit such information that the Commissioner requires, including but not limited to:#

    1. (1)

      A utilization review plan;#

    2. (2)

      The type and qualifications of the personnel either employed or under contract to perform the utilization review;#

    3. (3)

      A copy of the materials designed to inform applicable patients and healthcare providers of the requirements of the utilization review plan; and#

    4. (4)

      A signed attestation by the chief medical officer or chief executive officer of the applicant that such entity’s utilization review activities comply with the standards required by this chapter.#

    5. The information provided must demonstrate to the satisfaction of the Commissioner that the applicant will comply with the requirements of this chapter.

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, § 33-46-5, enacted by Ga. L. 1990, p. 1088, § 1; Ga. L. 1992, p. 2725, § 33; Code 1981, § 33-46-7, as redesignated by Ga. L. 2021, p. 629, § 2/SB 80.

Amendments

The 2021 amendment, effective January 1, 2022, redesignated former Code Section 33-46-5 as this Code section; inserted “or utilization review entity” in subsection (b); deleted “and” at the end of paragraph (b)(2); in paragraph (b)(3), substituted “healthcare” for “health care” and substituted “; and” for a period; added paragraph (b)(4); and substituted “applicant” for “private review agent” in the ending undesignated language of subsection (b).

Editor's notes

Ga. L. 2021, p. 629, § 2/SB 80, effective January 1, 2022, redesignated former Code Section 33-46-7 as present Code Section 33-46-9.

Read the official page (the state's PDF, opened at the page this text was read from).

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 144 to 145; merge action: replaced; file SHA-256 e6be8da2a3c1.