If a facility-based physician who is a noncontracted health care provider provides health care services in a base health care facility to an enrollee or insured and files a claim with a health insurance issuer for such facility-based services, the health insurance issuer shall provide the facility-based physician with an explanation of benefits as to any payment determination thereof. Nothing contained in this Subpart shall supercede the provisions of R.S. 22:263(D).
R.S. 22:1875 active rs title
Billing by noncontracted facility-based physicians providing services in a base health care facility ACTIVE
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History
- enactment Acts 2003, No. 1157, §1, eff. Jan. 1, 2004
- amendment Acts 2012, No. 271, §1