West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-95 - Utilization Review and Benefit Determination
Section 114-95-3 - Corporate Oversight of Utilization Review Program
Universal Citation: 114 WV Code of State Rules 114-95-3
Current through Register Vol. XLI, No. 38, September 20, 2024
An issuer shall be responsible for monitoring all utilization review activities carried out by, or on behalf of, the issuer and for ensuring that all requirements of this rule are met. The issuer also shall ensure that appropriate personnel have operational responsibility for the conduct of the issuer's utilization review program.
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