Section 33-46-5 - Certification of private review agents; exemption

(a) A private review agent or utilization review entity may not conduct utilization review of healthcare provided in this state unless the Commissioner has granted the private review agent or utilization review entity a certificate pursuant to this chapter. No individual conducting utilization review shall require certification if such utilization review is performed within the scope of such person's employment with an entity already certified pursuant to this Code section.(b) The Commissioner shall issue a certificate to an applicant that has met all the requirements of this chapter and all applicable regulations of the Commissioner.(c) A certificate issued under this chapter is not transferable without the prior approval of the Commissioner.Renumbered from § 33-46-3 and amended by 2021 Ga. Laws 266,§ 2, eff. 1/1/2022.Renumbered as § 33-46-7 by 2021 Ga. Laws 266,§ 2, eff. 1/1/2022.