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2004 SESSION

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HB 565 Health care provider professional services; civil recovery of payment.

Introduced by: David B. Albo | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Civil recovery; health care provider professional services. Authorizes a health care provider, if an insured or enrollee of an accident and sickness insurance policy, health services plan or health maintenance organization fails to remit insurance payments he has received for health care rendered, to institute a civil action to recover the lesser of $250 or three times the amount of the payment, together with the amount of the payment and any sanctions imposed pursuant to § 8.01-271.1. Action may be instituted only after the health care provider has invoiced the insured or enrollee for the services, and 30 days after the insured's or enrollee's receipt of the insurance payments.

SUMMARY AS PASSED HOUSE:

Civil recovery; health care provider professional services. Authorizes a health care provider, if an insured or enrollee of an accident and sickness insurance policy or health maintenance organization fails to remit insurance payments he has received for health care rendered, to institute a civil action to recover the lesser of $250 or three times the amount of the payment, together with the amount of the payment and any sanctions imposed pursuant to § 8.01-271.1. Action may be instituted only after the health care provider has invoiced the insured or enrollee for the services, and 30 days after the insured's or enrollee's receipt of the insurance payments.

SUMMARY AS INTRODUCED:

Civil recovery; health care provider professional services. Authorizes a professional rendering health care to an insured or enrollee of an accident and sickness insurance policy or health maintenance organization to recover from the insured or enrollee the lesser of $250 or three times the amount of the payment, together with the amount of the payment, in a civil action if after 30 days of receipt of payment from the insurance company or health maintenance organization, the insured or enrollee has not forwarded with the necessary endorsements the payment to the professional for application towards the unpaid balance. In order to initiate the warrant in debt, the professional must, prior to receipt of payment, forward to the insured or enrollee an invoice for services rendered.