3 AAC 28.900 - 3 AAC 28.918 apply to

1. (1) a health care insurer that

   1. (A) transacts health care insurance in this state; and
   2. (B) provides or performs utilization review services;
2. (2) a designee of the health care insurer under (1) of this section, including a utilization review organization that performs utilization review functions on the health care insurer's behalf; and
3. (3) a health care insurer under (1) of this section or the health care insurer's designee utilization review organization that provides or performs a prospective review or retrospective review benefit determination.

(Eff. 3/15/2018, Register 225)

Authority: AS 21.06.090, AS 21.07.005