Missouri § 374.503 - Certificate required for utilization review agents, exceptions.
Full text of Missouri Revised Statutes of Missouri § 374.503 — Certificate required for utilization review agents, exceptions., with citation guidance and answers to common questions.
§ 374.503. Certificate required for utilization review agents, exceptions.
1. A utilization review agent may not conduct utilization review in this state unless the Missouri department of commerce and insurance has granted the utilization review agent a certificate.
2. No certificate is required for those review agents conducting general in-house utilization review for hospitals, home health agencies, clinics, private offices or any other health facility or entity, so long as the review does not result in the approval or denial of payment for hospital or medical services for a particular case.
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(L. 1991 S.B. 352 § 2)
Effective 7-10-91
---- end of effective 10 Jul 1991 ----
Frequently Asked Questions About Missouri § 374.503
What does Revised Statutes of Missouri § 374.503 cover?
Section 374.503 ("Certificate required for utilization review agents, exceptions.") is part of the Revised Statutes of Missouri, the codified statutory law of Missouri. 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 Missouri § 374.503?
A common citation format is "Revised Statutes of Missouri § 374.503" (Missouri). 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 Missouri law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Missouri official source linked on this page or consult a licensed Missouri attorney.
How does Missouri § 374.503 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Missouri 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 Missouri.