{"data":{"id":"us-nd/n.d.-cent.-code-26.1-26.4-01","jurisdiction":"us-nd","citation":"N.D. Cent. Code § 26.1-26.4-01","heading":"Purpose and scope","body":"This chapter applies to grandfathered health plans unless a health care insurer or utilization review agent determines to extend the protections of section 26.1-36-47 to a grandfathered plan. \"Grandfathered health plan\" has the meaning stated in the Patient Protection and Affordable Care Act [Pub. L. 111-148], as amended by the Health Care and Education Reconciliation Act of 2010 [Pub. L. 111-152]. The purpose of this chapter is to:\n1.Promote the delivery of quality health care in a cost-effective manner;\n2.Assure that utilization review agents adhere to reasonable standards for conducting utilization review;\n3.Foster greater coordination and cooperation between health care providers and utilization review agents;\n4.Improve communications and knowledge of benefits among all parties concerned before expenses are incurred; and\n5.Ensure that utilization review agents maintain the confidentiality of medical records in accordance with applicable laws.","path":["Title 26.1 Insurance","Chapter 26.1-26.4 Health Care Service Utilization Review"],"source_url":"https://ndlegis.gov/cencode/t26-1c26-4.pdf","current_through":"2026-07-31T11:12:02","vintage":"","retrieved_at":"2026-09-02T21:04:14Z","sha256":"2b7b29c4277b606d99a04c72d9b27b1534f84014a21436dc7fe9be13125bca4c","source_id":"us-nd","stale":true,"prev":"us-nd/n.d.-cent.-code-26.1-26.3-07","next":"us-nd/n.d.-cent.-code-26.1-26.4-02"},"notice":"GroundRules: Original legal text. Not legal advice."}