The Nebraska Utilization Review Agent license
Utilization Review Agent
Decides whether somebody else's medical care will be paid for. Nebraska certifies it for two years at a time, and the qualification is not an examination or a course but somebody else's accreditation.
Course
None
This license has no pre-licensing course route.
Ways in
1
There is no state exam for this license.
Exam
n/a
Not required on any of the routes below.
Every way to qualify
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Route 1 Hold URAC accreditation, then apply
No state exam for this license
The accreditation
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Documentation that the applicant has been approved or accredited by the American Accreditation HealthCare Commission/URAC, or by a similar organization whose standards for utilization review agents are substantially similar and which the director has approved. The qualification is bought from a private accreditor rather than earned from the state.
and the application
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A signed and verified application on the Department's form, with the street and mailing address, the telephone number, a list of the principal officers responsible for the entity's operation, management and control, and whatever else the Department reasonably requires.
and the fee
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$300 with the application and $100 on each two-year renewal, which is the largest gap between an initial and a renewal fee on the Nebraska schedule.
Neb. Rev. Stat. 44-5419 requires the certificate and sets its term at two years from issuance; 44-5420 is the application and the fee; 44-5421 is the grant or denial with notice and hearing; 44-5424 is the renewal. There is no examination and no pre-licensing course, and the substantive standards the agent has to meet are the accreditor's rather than the Department's. Georgia's private review agent is the same instrument under a different name.
Read at nebraskalegislature.gov on 2026-08-20
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No national seller sells a course for this license. Aceable does not sell Nebraska at all. There is no examination and no course: the qualification is URAC accreditation bought from a private accreditor, and nothing a course seller offers substitutes for it.