NY Ins L §4903(a)(2-3)
August 8, 2021 3:10 pm(a) Utilization review shall be conducted by: (2) A health care professional who is appropriately trained in the principles, procedures and standards... View more
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8 TIC §1271.155(b)
August 8, 2021 2:09 pm(b) A health care plan of a health maintenance organization must provide the following coverage of emergency care: (1) a... View more
6 TIC §843.002(7)
August 8, 2021 2:08 pm(7) “Emergency care” means health care services provided in a hospital emergency facility… to evaluate and stabilize medical conditions of... View more
NY Ins L §3221(k)(4)(A)
August 8, 2021 2:08 pm(4)(A) Every group policy delivered or issued for delivery in this state that provides coverage for inpatient hospital care shall include... View more
NY Ins L §4303(a)(2)(D)
August 8, 2021 2:07 pm(D) For the purpose of this provision, “emergency services” means, with respect to an emergency condition: (i) a medical screening examination... View more
37 Fla. Stat. §641.513(1)
August 8, 2021 2:05 pm(1) In providing for emergency services and care as a covered service, a health maintenance organization may not: (a) Require prior authorization... View more
37 Fla. Stat. §641.47(8)
August 8, 2021 2:05 pm(8) “Emergency services and care” means medical screening, examination, and evaluation by a physician or, to the extent permitted by... View more
CO Rev. Stat. §10-16-704(5.5)(a)
August 8, 2021 2:03 pm(a) Notwithstanding any provision of law, a carrier that provides any benefits with respect to services in an emergency department... View more
CO Rev. Stat. §10-16-704(5.5)(b)(II)(A-B)
August 8, 2021 2:03 pm(II) “Emergency services”, with respect to an emergency medical condition, means: (A) A medical screening examination that is within the capability of... View more
CO Rev. Stat. §10-16-112.5(3)(a)(I)
August 8, 2021 9:47 am(A) Notify the provider and covered person, within five business days after receipt of the request, that the request is... View more