31A-8a-206 - Provider agreements -- Record keeping.
31A-8a-206. Provider agreements -- Record keeping.
(1) A health discount program operator may not place any restrictions on an enrollee'saccess to health care providers such as waiting periods or notification periods.
(2) A health discount program operator may not reimburse health care providers forservices rendered to an enrollee, unless the health discount program operator is a licensed thirdparty administrator.
(3) (a) A health discount program operator must have a written agreement with a healthcare provider who agrees to provide discounts to health discount program enrollees.
(b) If the written agreement is with a provider network, the health discount plan mustrequire the provider network to have written agreements with each of its health care providers.
(4) The health discount program operator shall maintain a copy of each active health careprovider agreement.
Enacted by Chapter 58, 2005 General Session