Within 30 days of the insurer’s receipt of the provider’s or facility’s request for arbitration, the insurer shall submit to the Commissioner all data necessary for the Commissioner to determine whether such insurer’s payment to such provider or facility was in compliance with Code Section 33-20E-4 or 33-20E-5. The Commissioner shall not be required to make such a determination prior to referring the dispute to a resolution organization for arbitration.
History. Code 1981, § 33-20E-11 , enacted by Ga. L. 2020, p. 210, § 1/HB 888.
Structure Georgia Code
Chapter 20E - Surprise Billing Consumer Protection Act
§ 33-20E-2. Application to Insurers; Definitions
§ 33-20E-4. Payment for Emergency Medical Services
§ 33-20E-5. Payment for Nonemergency Medical Services
§ 33-20E-6. Denying or Restricting Benefits Based on Balance Billing; Notice to Insured
§ 33-20E-7. Surprise Bill Exclusion; Requirements
§ 33-20E-8. Payer Health Claims Data Base; Annual Updating of Website
§ 33-20E-9. Arbitration of Payment Issues
§ 33-20E-10. Dismissal or Arbitration Requests
§ 33-20E-11. Submission to Commissioner by Insurer of Data Pending Arbitration
§ 33-20E-12. Regulation; Contracting With Resolution Organizations
§ 33-20E-13. Selection of Arbitrator
§ 33-20E-14. Submission of Final Offers; Supporting Documentation
§ 33-20E-15. Proposed Payment Amounts
§ 33-20E-16. Payment of Expenses and Fees
§ 33-20E-17. Referral of Parties for Violations
§ 33-20E-18. Limitation on Litigation When Arbitration Sought
§ 33-20E-19. Quarterly Reporting by Resolution Organizations
§ 33-20E-20. Annual Reporting by Commissioner
§ 33-20E-21. Exclusion From Other Statutory Provisions
§ 33-20E-22. Reporting to Credit Reporting Agencies
§ 33-20E-23. Financial Responsibilities for Ground Ambulance Transportation