P.R. Laws tit. 26, § 9425
2019-02-20 00:00:00+00
A health insurance organization or issuer shall be responsible for monitoring all utilization review activities carried out by, or on behalf of, the health insurance organization or issuer and for ensuring that all requirements of this chapter and the corresponding regulations are met. The health insurance organization or issuer also shall ensure that appropriate personnel have operational responsibility for the conduct of the health insurance organization or issuer's utilization review program.
History —Aug. 29, 2011, No. 194, added as § 24.050 on Aug. 23, 2012, No. 203, § 5, eff. 90 days after Aug. 23, 2012.