Patient protection reports


Utilization review: Those insurers that require pre-authorization for treatment are required to file an annual summary relating to the insurer's utilization review policies. The report includes information on how utilization decisions are made, the timeliness of completing reviews, and how utilization review criteria is developed and revised. Supplemental reports, including work plans, evaluations, and review statistics, may also be included with their reporting.​​​​​​​​​​