Insurance; medical necessity of a healthcare service; provisions

A BILL to be entitled an Act to amend Code Section 33-46-6 of the Official Code of Georgia Annotated, relating to requirements for certification, utilization of nationally recognized accreditation standards, and website identifying nationally recognized accreditation entities, so as to provide that, in cases where a private review agent or utilization review entity is questioning the medical necessity of a healthcare service, a final determination on medical necessity must be agreed to by a clinical peer licensed in this state; to provide for related matters; to provide for an effective date and applicability; to repeal conflicting laws; and for other purposes.