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Wyoming · Through 2026 Budget Session; as of 2026-07-01

Wyo. Stat. § 26-55-105: Consultation after issuing an adverse determination.

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Where this section sits in the code
  1. TITLE 26 - INSURANCE CODE
  2. CHAPTER 55 - ENSURING TRANSPARENCY IN PRIOR AUTHORIZATION ACT

After issuing an adverse determination, the health insurer or contracted utilization review entity shall provide the opportunity to the health care provider to discuss the medical necessity of the health care service with the person who has decision making authority and will be responsible for determining authorization of the health care service under review. The health insurer or contract utilization review entity shall attempt to schedule the discussion within five (5) business days after the health care provider's request.

Collected 2026-09-04T00:16:32Z. Source file · JSON

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