---
urn: urn:us-la:rs:22:1875
citation: "R.S. 22:1875"
status: active
breadcrumb: "Title 22 › Chapter 6 › Part II › Subpart D"
acts_citations:
  - { year: 2003, number: 1157, section: 1, effective_date: 2004-01-01, role: enactment }
  - { year: 2012, number: 271, section: 1, effective_date: null, role: amendment }
---

# Billing by noncontracted facility-based physicians providing services in a base health care facility

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).