Purpose

The purpose of this subchapter is to: (1) Promote the delivery of quality health care in a cost-effective manner; (2) Foster greater coordination between payors and providers conducting utilization review activities; (3) Protect patients, business, and providers by ensuring that private review agents are qualified to perform utilization activities and to make informed decisions on the appropriateness of medical care; and (4) Ensure that private review agents maintain the confidentiality of medical records. Acts 1989, No. 537, § 2. The purpose of this subchapter is to: (1) Promote the delivery of quality health care in a cost-effective manner; (2) Foster greater coordination between payors and providers conducting utilization review activities; (3) Protect patients, business, and providers by ensuring that private review agents are qualified to perform utilization activities and to make informed decisions on the appropriateness of medical care; and (4) Ensure that private review agents maintain the confidentiality of medical records. Acts 1989, No. 537, § 2.