17A-600. Definitions for KRS 304.17A-600 to 304.17A-633.

17A-603. Application of KRS 304.17A-600 to 304.17A-633.

17A-605. Requirements and procedures for utilization review -- Exception for private review agent operating under contract with the federal government.

17A-607. Duties of insurer or private review agent performing utilization reviews -- Requirement for registration -- Consequences of insurer's failure to make timely utilization review determination -- Requirement that insurer or private review agent submit changes to the department -- Requirement that private review agent provide timely notice of entities for whom it is providing review.

17A-609. Emergency administrative regulations governing utilization review and internal appeal to be promulgated by the department.

17A-611. Prohibition against retrospective denial of coverage for health care services under certain circumstances.

17A-613. Emergency administrative regulations governing registration of insurers and private review agents seeking to conduct utilization reviews -- Procedure for handling complaints.

17A-615. Prohibition against denying or reducing payments under certain circumstances.

17A-617. Internal appeals process -- Procedures -- Review of coverage denials.

17A-619. Duty of covered person, authorized person, or provider to provide insurer with new information regarding internal appeal -- Time frame for insurer to render a decision based on new information -- Insurer's failure to make timely determination or provide written notice.

17A-621. Independent External Review Program established.

17A-623. External review of adverse determination -- Who may request -- Criteria for review -- Fee -- Conditions under which covered person not entitled to review -- Resolution of disputes -- Confidentiality -- Expedited external review.

17A-625. Factors to be considered by independent review entity conducting external review -- Basis for decision -- Insurer's responsibilities -- Contents, admissibility, and effect of decision -- Consequence of insurer's failure to provide coverage -- Liability -- Written complaints.

17A-627. Certification as independent review entity -- Requirements and restrictions.

17A-629. Administrative regulations to implement provisions of KRS 304.17A-621, 304.17A-623, 304.17A-625, 304.17A-627, 304.17A-629, and 304.17A-631.

17A-631. Time for insurers to comply with administrative regulations.

17A-633. Commissioner to report to Interim Joint Committee on Banking and Insurance and to Governor -- Contents of report.