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Managed Care Organizations’ Medical Necessity Criteria for Approval of Benefits

RESOLVED, That the North Carolina Medical Society supports policies requiring the managed care companies operating in North Carolina to make available to physicians, upon request, clinical guidelines and all medical and scientific reference sources used to validate clinical guidelines.

(Resolution 15-1992, adopted 11/8/1992)
(reaffirmed, Report H-2002, adopted 11/17/2002)
(revised, Report N-2008, Item 3-50, adopted 10/19/2008)
(reaffirmed, Reaffirmation Report-2013, Item 63, adopted 10/26/2013)
(technical correction, Board Report-2018, Item 190, adopted 11/3/2018)