{"data":{"id":"us-nd/n.d.-cent.-code-26.1-36.12-03","jurisdiction":"us-nd","citation":"N.D. Cent. Code § 26.1-36.12-03","heading":"Personnel qualified to make adverse determinations","body":"A prior authorization review organization shall ensure all adverse determinations are made by a licensed physician or licensed pharmacist. The reviewing individual:\n1.Must have experience treating patients with the condition or illness for which the health care service is being requested; and\n2.Shall make the adverse determination under the clinical direction of one of the prior authorization review organization's medical directors who is responsible for the health care services provided to enrollees.","path":["Title 26.1 Insurance","Chapter 26.1-36.12 Prior Authorization For Health Insurance"],"source_url":"https://ndlegis.gov/cencode/t26-1c36-12.pdf","current_through":"2026-07-31T11:12:02","vintage":"","retrieved_at":"2026-09-02T21:04:14Z","sha256":"1e0b794f47ddbc2572b46016db6893ae023cc189c8dda2a966ca8e0e11510a28","source_id":"us-nd","stale":true,"prev":"us-nd/n.d.-cent.-code-26.1-36.12-02","next":"us-nd/n.d.-cent.-code-26.1-36.12-04"},"notice":"GroundRules: Original legal text. Not legal advice."}