20-2530. Definitions


For the purposes of this article:


1. "Member" means a person who is covered under a health care plan provided by a
health care insurer or that person's treating provider, parent, legal guardian, surrogate
who is authorized to make health care decisions for that person by a power of attorney, a
court order or the provisions of section 36-3231, or agent who is an adult and who has
the authority to make health care treatment decisions for that person pursuant to a
health care power of attorney.


2. "Utilization review agent" means those persons and entities that perform
utilization review as defined in section 20-2501 and includes any health care insurer
whose utilization review plan includes the direct or indirect denial of requested medical
or health care services or the denial of claims.