§ 44-5416 Act, how cited
§ 44-5417 Purpose of act
§ 44-5418 Terms, defined
§ 44-5419 Utilization review agent; certificate required; term
§ 44-5420 Certificate; application; fee
§ 44-5421 Certificate; director; grant or deny; notice and hearing requirements
§ 44-5422 Utilization review agents; procedures applicable; exceptions
§ 44-5423 Utilization review agent; notify director of changes; when
§ 44-5424 Certificates; renewal; fee
§ 44-5425 Health carrier; oversight of utilization review activities
§ 44-5426 Utilization review program; use of clinical review criteria
§ 44-5427 Description of review procedures; toll-free number
§ 44-5428 Agent violation; notice; hearing
§ 44-5429 Violation; penalty
§ 44-5430 Violation of cease and desist order; penalty
§ 44-5431 Rules and regulations

Terms Used In Nebraska Statutes > Utilization Review Act

  • Action: shall include any proceeding in any court of this state. See Nebraska Statutes 49-801
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Company: shall include any corporation, partnership, limited liability company, joint-stock company, joint venture, or association. See Nebraska Statutes 49-801
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: shall mean the Department of Insurance. See Nebraska Statutes 44-103
  • Devise: To gift property by will.
  • Director: shall mean the Director of Insurance. See Nebraska Statutes 44-103
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Insurer: shall include all companies, exchanges, societies, or associations whether organized on the stock, mutual, assessment, or fraternal plan of insurance and reciprocal insurance exchanges. See Nebraska Statutes 44-103
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: shall include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Person shall: include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Process: shall mean a summons, subpoena, or notice to appear issued out of a court in the course of judicial proceedings. See Nebraska Statutes 49-801
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
  • United States: shall include territories, outlying possessions, and the District of Columbia. See Nebraska Statutes 49-801
  • Year: shall mean calendar year. See Nebraska Statutes 49-801