A red-lined version of the NAIC’s model bill to assist medical societies in states where the NAIC model has been introduced or where the medical society would like to propose network adequacy legislation.
Ensures that health insurer provider directors are accurate, timely updated, and contain information sufficient to enable patients to make informed decisions concerning physicians and health care providers.
Protecting patients and improving the accuracy of provider directory information
Protecting patients and improving the accuracy of provider directory information
Balance billing in cases of emergency services; Balance billing in cases of non-emergency services performed by nonparticipating providers at certain participating facilities; Provider requirements with respect to disclosure on patient protections against balance billing; Enforcement; Air ambulance services; Provision of information upon request and for scheduled appointments; Patient-provider dispute resolution; Continuity of care; Provider requirements to protect patients and improve the accuracy of provider directory information
Protecting patients and improving the accuracy of provider directory information
Network Directories
Reported discrepancies; corrective action