26B-2-704. Failure to follow certain health care claims practices -- Penalties.
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Effective 5/1/2024
26B-2-704. Failure to follow certain health care claims practices -- Penalties.
(1)The department may assess a fine of up to $500 per violation against a health care facility that violates Section 31A-26-313 .
(2)The department shall waive the fine described in Subsection
(1)if:
(a)the health care facility demonstrates to the department that the health care facility mitigated and reversed any damage to the insured caused by the health care facility or third party's violation; or
(b)the insured does not pay the full amount due on the bill that is the subject of the violation, including any interest, fees, costs, and expenses, within 120 days after the day on which the health care facility or third party makes a report to a credit bureau or takes an action in violation of Section 31A-26-313 .
Renumbered and Amended by Chapter 267 , 2024 General Session