There is a newer version of the Kentucky Revised Statutes
2009 Kentucky Revised Statutes
Subtitle 32. Nonprofit Hospital, Medical-Surgical, Dental and Health Service Corporations
304.32.330 Requirements for self-insured employer that provides health coverage and requires utilization review of benefits.
Download pdfdesignee, or a private review agent shall:
(a) Be a registered private review agent in accordance with KRS 304.17A-607 and administrative regulations promulgated under the authority of KRS
304.17A-613; or (b) Contract with a private review agent that has been registered in accordance with KRS 304.17A-607 and administrative regulations promulgated under the
authority of KRS 304.17A-613. (2) Notwithstanding any other provision of KRS 304.17A-603, 304.17A-605, 304.17A- 607, 304.17A-609, 304.17A-611, 304.17A-613, and 304.17A-615, a self-insured
employer shall not deny or reduce payment of health benefits to any person,
licensed practitioner, or health facility for covered services which have been
rendered to an insured unless:
(a) Notice of denial has been issued; and
(b) The self-insured employer is in compliance with subsection (1) of this section. Effective: July 14, 2000
History: Amended 2000 Ky. Acts ch. 262, sec. 30, effective July 14, 2000. -- Created 1990 Ky. Acts ch. 451, sec. 10, effective July 13, 1990.
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