A utilization review agent shall not: (1) Be compensated based on its volume of denials; or (2) Base any incentive or penalty for a medical reviewer of such agent based on the volume of denials such reviewer issues or upholds.
Neb. Rev. Stat. § 44-5444
Utilization review agent; compensation; incentive or penalty; restrictions
Laws 2025, LB77, § 13.
Official source: Nebraska Legislature. Reproduced from public-domain Nebraska statutes; confirm against the official source for the current text. Not legal advice.