Utilization Review (UR) Agent Report Application, Instructions and Forms
The following documents are in PDF format.
- UR Agent Report Filing Instructions
- UR Agent Report Application and Attestation Form
- Notice of Initial Adverse Determination Requirements
- Notice of Final Adverse Determination Requirements
- Minimum Process Requirements for Prior Authorization Utilization Review
- Minimum Process Requirements for Concurrent Authorization Utilization Review
- Minimum Process Requirements for Retrospective Authorization Utilization Review