Current through the 2024 Fourth Special Session
Section 31A-22-639 - Statement of preauthorization(1) An insurer who requires preauthorization or preapproval for coverage under accident and health insurance shall, beginning January 1, 2011, provide an enrollee with a statement of preauthorization if: (a) the applicable CPT codes have been submitted to the insurer to determine whether a particular procedure is covered under the terms of the accident and health insurance policy;(b) the enrollee has met the requirements for preauthorization of the procedure or encounter; and(c) the enrollee requests a statement of preauthorization.(2) A statement of preauthorization under Subsection (1) may be sent: (3) A statement of preauthorization shall include a statement that the preauthorization is: (a) not a guarantee of payment by an insurer; and(b) subject to the policy and contract provisions of the accident and health insurance contract.Enacted by Chapter 204, 2010 General Session.