Section 46. Certification of Private Review Agents, 33-46-1 through 33-46-14.
ARTICLE 4
LIQUIDATION PROCEEDINGS
33-46-13. Exemptions from applicability of chapter.
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This chapter shall not apply to any contract with the federal government for utilization and review of patients eligible for hospital services under Title XVIII or XIX of the Social Security Act.
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This chapter shall not apply to any private review agent when such private review agent is working under contract, or an extension or renewal thereof, with a licensed insurer operating under an agreement, providing administrative servicespursuant to the provisions of subsection (b) of Code Section 33-20-17 to a health care benefit plan negotiated through collective bargaining as that term is defined in the federal National Labor Relations Act, as amended, if the original agreement was executed and in effect prior to January 1, 1990.
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This chapter shall not apply to audits of the medical record for the purposes of verifying that health care services were ordered and delivered.
(Code 1981, §33-46-13, enacted by Ga. L. 1990, p. 1088, § 1.)
Code Commission notes.
- Pursuant to Code Section 28-9-5, in 1990, "Title" was substituted for "Titles" in subsection (a).