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Insurance Code | |
Health Discount Program Consumer Protection Act | |
Section 206 | Provider agreements -- Record keeping. |
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31A-8a-206. Provider agreements -- Record keeping. (1) A health discount program operator may not place any restrictions on an enrollee's access to health care providers such as waiting periods or notification periods. (2) A health discount program operator may not reimburse health care providers for services rendered to an enrollee, unless the health discount program operator is a licensed third party administrator. (3) (a) A health discount program operator shall have a written agreement with a health care provider who agrees to provide discounts to health discount program enrollees. (b) If the written agreement is with a provider network, the health discount plan shall require the provider network to have written agreements with each of its health care providers. (4) The health discount program operator shall maintain a copy of each active health care provider agreement.
Amended by Chapter 297, 2011 General Session |
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