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2009 Kentucky Revised Statutes
Subtitle 17A. Health Benefit Plans
304.17A.611 Prohibition against retrospective denial of coverage for health care services under certain circumstances.

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Page 1 of 1 304.17A-611 Prohibition against retrospective denial of coverage for health care services under certain circumstances. A utilization review decision shall not retrospectively deny coverage for health care <br>services provided to a covered person when prior approval has been obtained from the <br>insurer or its designee for those services, unless the approval was based upon fraudulent, <br>materially inaccurate, or misrepresented information submitted by the covered person, <br>authorized person, or the provider. Effective: July 14, 2000 <br>History: Created 2000 Ky. Acts ch. 262, sec. 6, effective July 14, 2000.

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