15 Miss. Code R. § 16-1-82.7.1

Current through June 25, 2024
Rule 15-16-1-82.7.1 - Responsibility for Obtaining Certification
1. In the absence of any contractual agreement to the contrary, the enrollee is responsible for notifying the private review agent in a timely manner and obtaining certification for health care services. A private review agent shall allow any licensed hospital, physician, or responsible patient representative, including a family member, to assist in fulfilling that responsibility.
2. To assure confidentiality, a private review agent must, when contacting a physician's office or hospital, provide its certification number, the caller's name, and professional qualification to the designated utilization review representative in the physician's office or hospital.

15 Miss. Code. R. § 16-1-82.7.1

Miss. Code Ann. §41.83.1