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NC H539

Bill

Status

Introduced

4/13/2021

Primary Sponsor

Sarah Stevens

Click for details

Origin

House of Representatives

2021-2022 Session

AI Summary

  • Amends G.S. 8-58.1 to establish rules for calculating medical charges in civil actions based on whether the injured party has health insurance and whether liens have been asserted.

  • Requires that when health insurance is filed and no lien is asserted, evidence of charges must show the amount paid by all sources and amounts remaining to be paid, including contractual adjustments.

  • When a lien under G.S. 44-49 or G.S. 44-50 is asserted and no insurance has been filed, only the amount of the claimed lien may be introduced as evidence in North Carolina courts.

  • Modifies G.S. 44-49(b) to invalidate medical provider liens if the provider fails to timely submit a claim to the injured party's health insurer or health plan within the allotted time requirements.

  • Adds unfair claim settlement practices to G.S. 58-63-15 prohibiting insurers from calculating health care provider charges by any method other than that specified in G.S. 8-58.1.

Legislative Description

Protecting Properly Insured Individual

Health Services

Last Action

Ref to the Com on Health, if favorable, Insurance, if favorable, Judiciary 2, if favorable, Rules, Calendar, and Operations of the House

4/14/2021

Committee Referrals

Health4/14/2021

Full Bill Text

No bill text available