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For Companies > Licensing and Approvals for Prospective Companies > Applications > Utilization Review
Medical Utilization Review Entity Application
The following are the filing requirements to become licensed as a Medical Utilization Review Entity:
  • Application form Adobe Acrobat Reader Symbol
  • $500.00 application fee (Ins 2001.10). Please make check payable to "Treasurer, State of New Hampshire." The fee is non-refundable.
  • The entity must have URAC (Utilization Review Accreditation Commission) approval or NCQA (National Committee for Quality Assurance) approval per RSA 420-E:3.
  • The entity must have a Medical Director licensed in New Hampshire. Contact the Board of Medicine for application at (603) 271-1203.

Please also review:

  • NHCAR Part Ins 2000 - Medical Utilization Review Entities.
  • RSA 420-E - Licensure of Medical Review Entities.
  • RSA 420-J - Managed Care Law.

Send the application to the New Hampshire Insurance Department, Financial Regulation Division.

If you have any questions, please contact Linda M. Zalinskie.

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.


New Hampshire Insurance Department | 21 South Fruit Street, Suite 14 | Concord, NH 03301
Phone 603.271.2261 | Fax 603.271.1406 | Consumer Hotline 1.800.852.3416

Copyright © State of New Hampshire, 2007