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Iowa Code 514F.1 - Utilization and cost control review committees

Iowa Code > Title XIII > Subtitle 1 > Chapter 514F > § 514F.1. Utilization and cost control review committees


Current as of: 2009

The licensing boards under chapters 148 , 149 , 151 , and 152 shall establish utilization and cost control review committees of licensees under the respective chapters, selected from licensees who have practiced in Iowa for at least the previous five years, or shall accredit and designate other utilization and cost control organizations as utilization and cost control committees under this section , for the purposes of utilization review of the appropriateness of levels of treatment and of giving opinions as to the reasonableness of charges for diagnostic or treatment services of licensees.  Persons governed by the various chapters of Title XIII, subtitle 1, of the Code and self-insurers for health care benefits to employees may utilize the services of the utilization and cost control review committees upon the payment of a reasonable fee for the services, to be determined by the respective boards.  The respective boards under chapters 148 , 149 , 151 , and 152 shall adopt rules necessary and proper for the administration of this section pursuant to chapter 17A .  It is the intent of this general assembly that conduct of the utilization and cost control review committees authorized under this section shall be exempt from challenge under federal or state antitrust laws or other similar laws in regulation of trade or commerce.

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Iowa Laws: Health Insurance

Iowa Code Chapter 509B - Continuation of group health insurance
">Iowa Code Chapter 513A - Third–party payors of health care benefits
Iowa Code Chapter 513B - Small group health coverage
Iowa Code Chapter 513C - Individual health insurance market reform
Iowa Code Chapter 514 - Nonprofit health service corporations
Iowa Code Chapter 514A - Accident and health insurance
Iowa Code Chapter 514C - Special health and accident insurance coverages
Iowa Code Chapter 514D - Accident and sickness insurance policies
Iowa Code Chapter 514E - Iowa comprehensive health insurance association
Iowa Code Chapter 514F - Utilization and cost control
Iowa Code Chapter 514J - External review of health care coverage decisions
Iowa Code Chapter 514K - Health care plan information
Iowa Code Chapter 514L - Uniform prescription drug information card

U.S. Code Provisions: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements

Federal Regulations: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements
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