Louisiana § RS 22:1260.45 - Documentation
Full text of Louisiana Louisiana Civil Code § RS 22:1260.45 — Documentation, with citation guidance and answers to common questions.
§ RS 22:1260.45. Documentation
When conducting a utilization review, a health insurance issuer shall do all of the following:
(1) Accept any evidence-based information from a provider that will assist in the utilization review.
(2) Collect only the information necessary to authorize the service and maintain a process for the provider to submit the records.
(3) If medical records are requested, require only the portion of the medical record necessary in that specific case to determine medical necessity or appropriateness of the service to be delivered, including admission or extension of stay, frequency, or duration of service.
(4) Base review determinations on the medical information in the enrollee's records obtained by the health insurance issuer up to the time of the review determination.
Acts 2023, No. 312, §1, eff. Jan. 1, 2024.
Frequently Asked Questions About Louisiana § RS 22:1260.45
What does Louisiana Civil Code § RS 22:1260.45 cover?
Section RS 22:1260.45 ("Documentation") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Louisiana § RS 22:1260.45?
A common citation format is "Louisiana Civil Code § RS 22:1260.45" (Louisiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Louisiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.
How does Louisiana § RS 22:1260.45 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Louisiana.