§ 23-17.13-6 - Contracts with providers for dental services.
SECTION 23-17.13-6
§ 23-17.13-6 Contracts with providers fordental services. – (a) No contract between a dental plan of a health care entity and a dentist forthe provision of services to patients may require that a dentist provideservices to its subscribers at a fee set by the health care entity unless saidservices are covered services under the applicable subscriber agreement."Covered services," as used herein, means services reimbursable under theapplicable subscriber agreement, subject to such contractual limitations onsubscriber benefits as may apply, including, for example, deductibles, waitingperiod or frequency limitations.
(b) For the purposes of this section "dental plan" shallinclude any policy of insurance which is issued by a health care entity whichprovides for coverage of dental services not in connection with a medical plan.