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NC H562
Bill
Status
4/2/2019
Primary Sponsor
John Torbett
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AI Summary
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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.
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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.
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Limits the assignment of benefits requirement to situations where no reimbursement contract exists between the health care provider and insurer or third-party payor.
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Applies existing prompt claims payment provisions from G.S. 58-3-225 to payments made under reimbursement contracts or assignment of benefits agreements.
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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