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NC H140
Bill
Status
8/30/2017
Primary Sponsor
Bert Jones
Click for details
AI Summary
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Removes the exemption for stand-alone dental insurance from health plan fee schedule disclosure and notification requirements under G.S. 58-3-227, making dental insurers subject to the same transparency rules as other health insurers.
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Requires dental insurers to disclose fee schedules, claims submission policies, and reimbursement policies including information on claims bundling, CPT code modifiers, downcoding, global surgery periods, and payment policies.
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Adds ICD-10-CM codes to the list of applicable codes that must be included in insurer fee schedules alongside CPT, HCPCS, ICD-9-CM, ASA codes, and modifiers.
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Modifies credit property insurance definitions to clarify that "personal household property" includes other personal property of debtors beyond furniture and appliances, excluding only automobiles and business property.
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Changes credit unemployment insurance rate standard review from annual to every three years beginning September 1, 2018, with new standards becoming effective January 1 following their prescription.
Legislative Description
Dental Plans Provider Contracts/Transparency
Last Action
Ch. SL 2017-205
8/30/2017