# 215 ILCS 200/25: Section 25

> Illinois · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S25

## Section

- **Citation:** 215 ILCS 200/25
- **Heading:** Section 25
- **Jurisdiction:** Illinois
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Code / Chapter 215 / Act 200 / Section 25

## Text

(215 ILCS 200/25) Sec. 25. Health insurance issuer's and its contracted utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances. Notwithstanding any other provision of law, if a health insurance issuer requires prior authorization of a health care service, the health insurance issuer or its contracted utilization review organization must make an approval or adverse determination and notify the enrollee, the enrollee's health care professional, and the enrollee's health care provider of the approval or adverse determination as required by applicable law, but no later than 5 calendar days after obtaining all necessary information to make the approval or adverse determination. As used in this Section, "necessary information" includes the results of any face-to-face clinical evaluation, second opinion, or other clinical information that is directly applicable to the requested service that may be required. (Source: P.A. 102-409, eff. 1-1-22.)

## Nearby sections

- [215 ILCS 200/1 Section 1](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S1.md)
- [215 ILCS 200/5 Section 5](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S5.md)
- [215 ILCS 200/10 Section 10](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S10.md)
- [215 ILCS 200/15 Section 15](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S15.md)
- [215 ILCS 200/20 Section 20](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S20.md)
- [215 ILCS 200/25 Section 25](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S25.md)
- [215 ILCS 200/30 Section 30](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S30.md)
- [215 ILCS 200/35 Section 35](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S35.md)
- [215 ILCS 200/40 Section 40](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S40.md)
- [215 ILCS 200/45 Section 45](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S45.md)
- [215 ILCS 200/50 Section 50](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S50.md)
- [215 ILCS 200/55 Section 55](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S55.md)
- [215 ILCS 200/60 Section 60](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S60.md)
- [215 ILCS 200/65 Section 65](https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S65.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_C215_A200_S25. Check the current official text before relying on it. Not legal advice.