332.122. Reimbursement by health benefit or dental plans, criteria.
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/mo/chapter-332/332-122A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
332.122. Reimbursement by health benefit or dental plans, criteria. — 1. The determination of whether a service provided to a patient is covered or reimbursable under the terms of a health benefit or dental benefit plan and the creation and management of a health care provider network are:
(1)Deemed not to be the practice of dentistry or other profession governed by this chapter; and
(2)Not in any way subject to the provisions of this chapter.
2. Claims, records, and documents pertaining to the operations of a health carrier, health benefit plan, dental benefit plan, or health care provider network are not clinical and administrative records under section 332.051 .
3. Nothing in subsection 1 or 2 of this section shall be construed as affecting the obligations of a health carrier, under chapters 354 and 376 , as health carrier is defined in section 376.1350 .
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(L. 2004 S.B. 1122)