If a complaint is filed against a Utilization Review Agent (URA), the Department will send an opening letter along with a copy of the complaint to the URA. The URA must provide a written response to the Department.
Once the Department receives the response from the URA, the Department will review the response to see if the response has complied with the Department's rules and regulations. Based on the Department's review of the URA's response, additional documentation may be requested.