Ohio Code § 1751.79
Ohio Code § 1751.79. Reproduced from the official Ohio Revised Code, with a citation summary, verification link, and related provisions.
§ 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.
Source: official Ohio text · Last verified 2026-08-27
At a glance
- Citation: Ohio Revised Code § 1751.79
- Jurisdiction: Ohio
- Code: Ohio Revised Code
- Text: transcribed from the official source (verify below)
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Statute text is transcribed from the official Ohio Revised Code. Confirm it against the primary source before relying on it:
Not legal advice. Verify against the official source and consult a licensed Ohio attorney.
Common questions
What is the source of Ohio Revised Code § 1751.79?
The text above is transcribed from the Ohio Revised Code, the codified statutes of Ohio. The official publisher link appears under "Verify the text" on this page.
What subject does Ohio Revised Code § 1751.79 address?
It addresses the rule set out in the section text. Read the section together with the surrounding provisions listed under "Nearby provisions" for the full picture.
Is Ohio Revised Code § 1751.79 still in force?
Statutes are amended, repealed, and renumbered every session. Confirm the current version at the official Ohio source before relying on this text.
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No. This is a reference transcription for research. Applying Ohio law to your facts requires a licensed Ohio attorney who can review the specifics.