514.21 Utilization review program. A utilization review program shall be established for purposes of health care cost control, according to usual and customary third-party insurance payment or reimbursementprocedures, by a corporation subject to this chapter and by physician providers as definedin section 135.1 and registered nurse providers licensed under chapter 152. This utilizationreview program shall not be used directly or indirectly to circumvent the provisions forpayment or reimbursement to providers of health care services as provided in section 509.3,subsection 1, paragraphs 'f' and 'g', and section 514.7. 86 Acts, ch 1180, §9; 89 Acts, ch 164, §4Utilization and cost control; see also chapter 514F Sat Dec 23 00:44:23 2023 Iowa Code 2024, Section 514.21 (15, 0)
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