The purpose of this part is to:
- (1) Promote the delivery of quality health care in a cost effective manner;
- (2) Foster greater coordination between payers and providers conducting utilization review activities;
(3) Protect patients, business, and providers by ensuring that private review agents are qualified to:
- (A) Perform utilization activities; and
- (B) Make informed decisions on the appropriateness of medical care; and
- (4) Ensure that private review agents maintain the confidentiality of medical records.