75E-5-313. Payments to medical service providers.

283 words·~1 min read·/ut/title-75e/chapter-5/75e-5-313

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 7/1/2026

(a)Except as provided in Subsection

(2), a medical service provider who accepts payment from the office:

(i)shall agree to accept payments as payment in full on behalf of the victim or claimant; and

(ii)may not attempt to collect further payment from the victim or the claimant for services for which the office has made payment.

(b)If the office is unable to make full payment in accordance with the office's rules, the medical service provider may collect from the victim or claimant, but not more than the amount the provider would have received from the office.

(a)When a medical service provider receives notice that a compensation claim has been filed, the medical service provider may not, before the office determines whether to issue a compensation award, engage in debt collection for the claim, including:

(i)repeatedly calling or writing to a victim and threatening to refer unpaid health care costs to a debt collection agency, attorney, or other person for collection; or

(ii)filing for or pursuing a legal remedy for payment of unpaid health care costs.

(b)The statute of limitations for collecting a debt is tolled during the time in which a request for a compensation award is being reviewed by the office.

(3)The office may:

(a)use the fee schedule utilized by the Utah Public Employees Health Plan or any other fee schedule adopted by the office; and

(b)make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, necessary to implement the fee schedule adopted in accordance with this section.

Renumbered and Amended by Chapter 291 , 2026 General Session