Network Plans

Sections

687B.693
Access to services and contractual discounts of a provider of health care: Inapplicability of provisions.
687B.694
Access to services and contractual discounts of a provider of health care: Requirements for granting access; termination; confidentiality.
687B.695
Access to services and contractual discounts of a provider of health care: Access by third parties.
687B.696
Access to services and contractual discounts of a provider of health care: Information required to be provided by third parties.
687B.697
Access to services and contractual discounts of a provider of health care: Obligations of health carrier and third parties concerning remittance advice or explanation of payment; requirements of third party.
687B.700
Participating provider of health care to continue delivery of services if health carrier or intermediary insolvent or ceases operations; billing of covered person; termination of services.
687B.710
Provisions to be construed in favor of covered person, survive termination of contract and supersede certain contrary agreements.
687B.720
Notice of insolvency or cessation of operations of health carrier or intermediary.
687B.730
Health carrier to provide notice of administrative policies and programs.
687B.740
Inducement to provide less than medically necessary health care services prohibited.
687B.750
Health carrier not to prohibit certain actions by participating provider of health care.
687B.760
Health records; confidentiality.
687B.770
Assignment or delegation of rights and responsibilities without prior written consent prohibited.
687B.780
Participating provider of health care to furnish covered services to all covered persons; exception.
687B.790
Health carrier to notify participating provider of health care of obligation to collect coinsurance, copayment or deductible or notify covered person of obligation for services not covered.
687B.800
Retaliation for good faith reporting to state or federal authority prohibited.
687B.810
Health carrier to allow participating provider of health care to determine whether a person is a covered person.
687B.820
Procedures for resolution of disputes.
687B.830
Contract for purposes of network plan prohibited from conflicting with network plan or law; notice of provisions and incorporated documents; notice of changes.
687B.840
Health carrier to notify participating provider of health care of status and inclusion on certain lists maintained by health carrier.
687B.850
Regulations.