{
  "urn": "urn:us-la:rs:22:1875",
  "title_number": "22",
  "section_number": "1875",
  "citation": "R.S. 22:1875",
  "heading": "Billing by noncontracted facility-based physicians providing services in a base health care facility",
  "text": "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).",
  "status": "active",
  "hierarchy_path": [
    {
      "level": "title",
      "number": "22",
      "name": "INSURANCE CODE"
    },
    {
      "level": "chapter",
      "number": "6",
      "name": "PAYMENT OF CLAIMS"
    },
    {
      "level": "part",
      "number": "II",
      "name": "HEALTH AND ACCIDENT INSURANCE CLAIMS PAYMENTS"
    },
    {
      "level": "subpart",
      "number": "D",
      "name": "HEALTH CARE CONSUMER BILLING AND DISCLOSURE PROTECTION ACT"
    }
  ],
  "breadcrumb": "Title 22 › Chapter 6 › Part II › Subpart D",
  "acts_citations": [
    {
      "act_year": 2003,
      "act_number": 1157,
      "section": 1,
      "effective_date": "2004-01-01",
      "effective_date_raw": "Jan. 1, 2004",
      "role": "enactment"
    },
    {
      "act_year": 2012,
      "act_number": 271,
      "section": 1,
      "effective_date": null,
      "effective_date_raw": null,
      "role": "amendment"
    }
  ],
  "acts_citations_raw": "Acts 2003, No. 1157, §1, eff. Jan. 1, 2004; Redesignated from R.S. 22:250.45 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2012, No. 271, §1.",
  "source_url": "https://legis.la.gov/legis/Law.aspx?d=509036",
  "website_law_id": 509036,
  "scrape_timestamp": "2026-05-22T22:11:43Z",
  "source_html_hash": "sha256:7b0f870b86bd528cf5986c6e89ff78fd0b0e34fdb2e61b714951619382438125",
  "schema_version": "1.0.0"
}