Section 351-7-5 - Definitions1.Board Appeal: If a health care provider or injured employee disagrees with the determination rendered in the utilization review process, that party may appeal to the Board by submitting a copy of the notification not to certify.2.Conditional Certification: Certification by the Board of an entity to perform utilization review activities that requires proof of application for accreditation with the Utilization Review Accreditation Commission (URAC) under URAC's National Workers' Compensation Utilization Management Standards.3.Insurer: An insurance carrier, self-insurer or group self-insurer.4.Treatment Guidelines: Standards of care and clinical pathways approved by the Workers' Compensation Board.5.Unconditional Certification: Certification by the Board of an entity to perform utilization review activities that requires proof of accreditation by the Utilization Review Accreditation Commission (URAC) under URAC's National Workers' Compensation Utilization Management Standards.6.Utilization Review (UR): The initial prospective, concurrent or retrospective evaluation of the appropriateness in terms of both the level and the quality of health care and health services provided an injured employee, based on the appropriate Maine Workers' Compensation Board Treatment Guidelines.7.Utilization Review Accreditation Commission (URAC): a non-profit organization established to encourage efficient and effective utilization management processes and to develop and provide a method of evaluation and accreditation of utilization management programs.8.Utilization Review Agent: Any person or entity, including insurance carriers, self-insurers, and group self-insurers, certified by the Board, to perform utilization review activities.90- 351 C.M.R. ch. 7, § 5