{"data":{"id":"us-de/18-del.-c.-3585","jurisdiction":"us-de","citation":"18 Del. C. § 3585","heading":"Retrospective denial.","body":"The utilization review entity may not revoke, limit, condition or restrict a pre-authorization on ground of medical necessity after the date the health-care provider received the pre-authorization. Any language attempting to disclaim payment for services on the basis of changes to medical necessity that have been pre-authorized and delivered while under coverage shall be null and void. A proper notification of policy changes validly delivered as per § 3372 of this title may void a pre-authorization if received after pre-authorization but before delivery of the service.","path":["Title 18. Insurance Code","Insurance","CHAPTER 35. Group and Blanket Health Insurance","Subchapter V. Pre-Authorization Transparency"],"source_url":"https://delcode.delaware.gov/title18/c035/sc05/index.html#3585","current_through":"2026-08-10 (85 Del. Laws, c. 421, 424)","vintage":"","retrieved_at":"2026-09-05T23:02:24Z","sha256":"cc9e74cb5c2de0397cfe31df3309397ce6c912394fc2e0d9067aec104320309c","source_id":"us-de","stale":true,"prev":"us-de/18-del.-c.-3584","next":"us-de/18-del.-c.-3586"},"notice":"GroundRules: Original legal text. Not legal advice."}