31A-8a-206. Provider agreements -- Record keeping.
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31A-8a-206. Provider agreements -- Record keeping.
(1)A health discount program operator may not place any restrictions on an enrollee's access to health care providers such as waiting periods or notification periods.
(2)A health discount program operator may not reimburse health care providers for services rendered to an enrollee, unless the health discount program operator is a licensed third party administrator.
(a)A health discount program operator shall have a written agreement with a health care provider who agrees to provide discounts to health discount program enrollees.
(b)If the written agreement is with a provider network, the health discount plan shall require the provider network to have written agreements with each of its health care providers.
(4)The health discount program operator shall maintain a copy of each active health care provider agreement.
Amended by Chapter 297 , 2011 General Session