{"data":{"id":"us-nc/n.c.-gen.-stat.-58-67-11","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-67-11","heading":"Additional HMO application information.","body":"(a)\tIn addition to the information filed under G.S. 58-67-10(c), each application shall include a description of the following:\n(1)\tThe program to be used to evaluate whether the applicant's provider network is sufficient, in numbers and types of providers, to assure that all health care services will be accessible without unreasonable delay.\n(2)\tThe program to be used for verifying provider credentials.\n(3)\tThe quality management program to assure quality of care and health care services managed and provided through the health care plan.\n(4)\tThe utilization review program for the review and control of health care services provided or paid for.\n(5)\tThe applicant's provider network and evidence of the ability of that network to provide all health care services to the applicant's prospective enrollees.\n(b)\tG.S. 58-67-10(d) applies to the information specified in this section. (1997-519, s. 1.2.)","path":["Chapter 58. Insurance.","Article 67. Health Maintenance Organization Act."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-67-11.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"66b4de131ca4d6394404417c84734860245c724d97fbb7bd8f8a0b0b66af6a2a","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-67-10","next":"us-nc/n.c.-gen.-stat.-58-67-12"},"notice":"GroundRules: Original legal text. Not legal advice."}