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Certification of Agents and Utilization Review Process

N.Y. Pub. Health Law § 4900— Definitions
N.Y. Pub. Health Law § 4901— Registration of utilization review agents
N.Y. Pub. Health Law § 4902— Utilization review program standards
N.Y. Pub. Health Law § 4903— Utilization review determinations
N.Y. Pub. Health Law § 4904— Appeal of adverse determinations by utilization review agents
N.Y. Pub. Health Law § 4905— Required and prohibited practices
N.Y. Pub. Health Law § 4906— Waiver
N.Y. Pub. Health Law § 4907— Rights and remedies
N.Y. Pub. Health Law § 4908— Applicability to ERISA Plans
N.Y. Pub. Health Law § 4909— Site of service clinical review