26.1-26.4-04.1. Utilization review in this state - Conditions of employment

26.1-26.4-04.1. Utilization review in this state - Conditions of employment A utilization review agent is deemed to be conducting utilization review in this state if the agent conducts utilization review involving services rendered or to be rendered in the state regardless of where the agent actually performs the utilization review. No person may be employed or compensated as a private review agent under any agreement or contract when compensation of the review agent is contingent upon a denial or reduction in the payment for hospital, medical, or other health care services.