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2019 SESSION

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SB 1360 Health insurance; balance billing, emergency services.

Introduced by: Frank W. Wagner | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Balance billing; emergency services. Provides that for emergency services an individual shall not be required to pay out-of-network provider charges in excess of the amount the health carrier is required to pay except applicable deductibles, copayment amounts, coinsurance rates, or amounts deemed by the health carrier to be noncovered services. The measure provides that in the event of a dispute between the health carrier and the out-of-network provider as to the appropriate reimbursement amount, either party may request the State Corporation Commission's Bureau of Insurance to determine the appropriate reimbursement amount.


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