P.R. Laws tit. 24, § 7062
2019-02-20 00:00:00+00
Every health services company or insurer that requires the preauthorization from the subscriber to provide the general anesthesia and hospitalization services coverage, as determined by a pediatric dentist, oral or maxillofacial surgeon, shall approve or deny it within two (2) days from the date the subscriber submits all the documents required by the health services company or insurer.
The required documents shall be:
(a) The patient’s diagnosis;
(b) the patient’s medical condition, and
(c) the reasons that justify for the patient to receive general anesthesia to perform the dental treatment according to what is provided in § 7061 of this title.
History —Dec. 22, 1999, No. 352, § 2.