North Carolina North Carolina UM – 10.2.19 I.  Scope and Applicability A.   Who is subject to the state’s utilization management regulations? North Carolina requires every insurer to prepare and maintain a utilization review program document that describes all delegated and nondelegated review functions for covered services. N.C. Gen. Stat. 58-50-61(c)  In addition, all insurers shall […]

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