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NC H562

Bill

Status

Introduced

4/2/2019

Primary Sponsor

John Torbett

Click for details

Origin

House of Representatives

2019-2020 Session

AI Summary

  • Requires reimbursement contracts between health care providers and insurers or third-party payors to mandate that payments be made directly to the health care provider for covered services.

  • Requires insurers or third-party payors to accept and honor completed assignment of benefits agreements that assign an insured's reimbursement benefits to a health care provider, provided the agreement is validly executed by the insured.

  • Limits the assignment of benefits requirement to situations where no reimbursement contract exists between the health care provider and insurer or third-party payor.

  • Applies existing prompt claims payment provisions from G.S. 58-3-225 to payments made under reimbursement contracts or assignment of benefits agreements.

  • Effective July 1, 2019, and applies to reimbursement contracts and assignment of benefit agreements entered into or amended on or after that date.

Legislative Description

Health Care Reimbursement Contracts/AOBs

Last Action

Ref to the Com on Insurance, if favorable, Rules, Calendar, and Operations of the House

4/4/2019

Committee Referrals

Insurance4/4/2019

Full Bill Text

No bill text available