$100.00 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.
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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