History. Code 1981, § 33-20A-7.1 , enacted by Ga. L. 2002, p. 441, § 6.
Code Commission notes.
Pursuant to Code Section 28-9-5, in 2002, the introductory paragraph of subsection (a) was redesignated as paragraph (a)(1), and paragraphs (a)(1) and (a)(2) were redesignated as (a)(2) and (a)(3), respectively, in paragraph (a)(2), “paragraph (2)” was substituted for “paragraph (1)” and in subsection (c), “nonurgent” was substituted for “non-urgent”.
Editor’s notes.
Ga. L. 2002, p. 441, § 1, not codified by the General Assembly, provides that: “This Act shall be known and may be cited as the ‘Consumers’ Health Insurance Protection Act.’ ”
Ga. L. 2002, p. 441, § 11, not codified by the General Assembly, provides that: “This Act shall apply only to health benefit plan contracts issued, delivered, issued for delivery, or renewed in this state on or after October 1, 2002; provided, however, that Section 8 of this Act shall apply to all claims relating to health care services provided on or after July 1, 2002. Any carrier, plan, network, panel, or agent thereof conducting a post-payment audit or imposing a retroactive denial on any claim initially submitted prior to July 1, 2002, shall, no later than June 30, 2003, provide written notice to the claimant of the intent to conduct such an audit or impose such a retroactive denial of any such claim or part thereof, including the specific reason for the audit or denial and shall complete the audit or retroactive denial and provide notice to the claimant of any payment or refund due prior to January 1, 2004.” The reference to Section 8 of the Act apparently should be to Section 9 of the Act, which enacted Article 3 of this chapter.
Law reviews.
For note on the 2002 enactment of this Code section, see 19 Ga. St. U.L. Rev. 220 (2002).
Structure Georgia Code
Chapter 20A - Managed Health Care Plans
Article 1 - Patient Protection
§ 33-20A-2. Legislative Findings
§ 33-20A-5. Standards for Certification
§ 33-20A-6. Financial Incentive Programs Prohibited; Capitated Payment Arrangement Allowed
§ 33-20A-8. Confidentiality and Accuracy of Patient Records
§ 33-20A-9. Emergency Services Requirements; Restrictive Formulary Requirements
§ 33-20A-10. Chapter Inapplicable to Workers’ Compensation Provisions