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Georgia Commons

Código Oficial de Georgia Anotado

Título 33. INSURANCE · Capítulo 46. CERTIFICATION OF PRIVATE REVIEW AGENTS · Artículo 1. GENERAL PROVISIONS

33-46-15. Exemptions from applicability of chapter.

Vigente

Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.

El texto siguiente es la ley tal como la imprime el estado, en inglés.

  1. (a)

    This chapter shall not apply to any contract with the federal government for utilization and review of patients eligible for hospital services under Title XVIII or XIX of the Social Security Act.#

  2. (b)

    This chapter shall not apply to any private review agent or utilization review entity when such private review agent or utilization review entity is working under contract, or an extension or renewal thereof, with a licensed insurer operating under an agreement, providing administrative services pursuant to the provisions of subsection (b) of Code Section 33-20-17 to a healthcare benefit plan negotiated through collective bargaining as that term is defined in the federal National Labor Relations Act, as amended, if the original agreement was executed and in effect prior to January 1, 1990.#

  3. (c)

    This chapter shall not apply to audits of the medical record for the purposes of verifying that healthcare services were ordered and delivered.#

Las notas siguientes se imprimen con la sección, pero no son ley promulgada (O.C.G.A. § 1-1-1(c)). Se muestran aparte del texto.

History

Code 1981, § 33-46-13, enacted by Ga. L. 1990, p. 1088, § 1; Code 1981, § 33-46-15, as redesignated by Ga. L. 2021, p. 629, § 2/SB 80.

Amendments

The 2021 amendment, effective January 1, 2022, redesignated former Code Section 33-46-13 as this Code section, inserted “or utilization review entity” in two places in subsection (b), and substituted “healthcare” for “health care” in subsections (b) and (c).

Leer la página oficial (el PDF del estado, abierto en la página de la que se leyó este texto).

Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.

Texto leído de t33-ch23-66-(v25)-pdf.pdf, Volumen V25, edición 2020, suplemento de 2025, página 148; acción de fusión: added; SHA-256 del archivo e6be8da2a3c1.