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2011 SESSION

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SB 1219 Medical services at hospitals; charges by physician & surgeon who are not members of provider panel.

Introduced by: George L. Barker | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Charges by nonparticipating physicians at participating hospitals. Requires a hospital that is a participating provider under a health insurance policy, contract, or plan to notify enrollees who are admitted for hospitalization of any physicians or surgeons who provide medical services at the hospital in the regular course of their practice and who are not members of a provider panel under the contract, policy, or plan. Such nonparticipating physicians and surgeons are required to inform enrollees admitted for hospitalization that they do not participate in a provider panel under the policy, contract, or plan and that the enrollee may be liable for the portion of his charges that exceeds the amount paid by the carrier for his services. Such providers are prohibited from billing an enrollee for any amount by which their charges for covered services exceed the amount paid by the carrier for the services unless the enrollee consented in writing, prior to receiving such services, to the use of his services.


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