Utah SB0319 amends health insurance preauthorization requirements, including reporting, disclosure, and processing timelines.
Utah SB0319 modifies health insurance preauthorization processes by requiring insurers to report preauthorization statistics to the Insurance Department, including data on prescription drugs. It mandates insurers to provide detailed explanations for adverse preauthorization determinations and statistics on authorizations and appeals. Insurers must also disclose the use of artificial intelligence in authorization reviews and post preauthorization requirements on their websites. The bill sets a maximum time frame for making authorization decisions and prohibits retroactive denials.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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