Ohio § 1751.79
Full text of Ohio Ohio Revised Code § 1751.79, with citation guidance and answers to common questions.
§ 1751.79.
A health insuring corporation that conducts utilization review shall prepare a written
utilization review program that describes all review activities, both delegated and
nondelegated, for covered health care services provided, including the following: (A) Procedures to evaluate the clinical necessity, appropriateness, efficacy, or efficiency
of health care services; (B) The use of data sources and clinical review criteria in making decisions; (C) Mechanisms to ensure consistent application of criteria and compatible decisions; (D) Data collection processes and analytical methods used in assessing utilization of
health care services; (E) Mechanisms for assuring confidentiality of clinical and proprietary information; (F) The periodic assessment of utilization review activities, and the reporting of these
assessments to the health insuring corporation's board, by a utilization review committee,
a quality assurance committee, or any similar committee; (G) The functional responsibility for day-to-day program management by staff; (H) Defined methods by which guidelines are approved and communicated to providers and
health care facilities.
Frequently Asked Questions About Ohio § 1751.79
What does Ohio Revised Code § 1751.79 cover?
Section 1751.79 is part of the Ohio Revised Code, the codified statutory law of Ohio. 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 Ohio § 1751.79?
A common citation format is "Ohio Revised Code § 1751.79" (Ohio). 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 Ohio law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Ohio official source linked on this page or consult a licensed Ohio attorney.
How does Ohio § 1751.79 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Ohio 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 Ohio.