MS HB483

Defines "facility-based physicians" as radiologists, anesthesiologists, pathologists, emergency department physicians, neonatologists, or assistant surgeons with clinical privileges at a hospital.

Requires facility-based physicians billing out-of-network patients to include conspicuous notice of mandatory mediation process when patient responsibility exceeds $250 after copayments, deductibles, and coinsurance.

Allows enrollees to request mediation for out-of-network facility-based physician charges exceeding $250 when services are provided at a hospital that has a contract with the health plan administrator.

Brings forward Section 25-15-17 regarding health plan benefit payment procedures, allowing direct payment to licensed health care providers with written direction from covered employees.

Makes technical amendments to Section 83-9-5 regarding insurance policy provisions and claim payment requirements, effective July 1, 2019.