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§ 33-20E-1. Short Title - This chapter shall be known and may be cited as...
§ 33-20E-2. Application to Insurers; Definitions - Emergency medical services” includes medical services rendered after such person...
§ 33-20E-3. Exemption - History. Code 1981, § 33-20E-3 , enacted by Ga. L....
§ 33-20E-4. Payment for Emergency Medical Services - Any amount that the insurer pays the nonparticipating provider under...
§ 33-20E-5. Payment for Nonemergency Medical Services - Any amount that the insurer pays the nonparticipating provider under...
§ 33-20E-6. Denying or Restricting Benefits Based on Balance Billing; Notice to Insured - No healthcare plan shall deny or restrict the provision of...
§ 33-20E-7. Surprise Bill Exclusion; Requirements - History. Code 1981, § 33-20E-7 , enacted by Ga. L....
§ 33-20E-8. Payer Health Claims Data Base; Annual Updating of Website - History. Code 1981, § 33-20E-8 , enacted by Ga. L....
§ 33-20E-9. Arbitration of Payment Issues - History. Code 1981, § 33-20E-9 , enacted by Ga. L....
§ 33-20E-10. Dismissal or Arbitration Requests - The Commissioner shall dismiss certain requests for arbitration if the...
§ 33-20E-11. Submission to Commissioner by Insurer of Data Pending Arbitration - Within 30 days of the insurer’s receipt of the provider’s...
§ 33-20E-12. Regulation; Contracting With Resolution Organizations - The Commissioner shall promulgate rules implementing an arbitration process requiring...
§ 33-20E-13. Selection of Arbitrator - Upon the Commissioner’s referral of a dispute to a resolution...
§ 33-20E-14. Submission of Final Offers; Supporting Documentation - The parties shall have ten days after the selection of...
§ 33-20E-15. Proposed Payment Amounts - Each party shall submit one proposed payment amount to the...
§ 33-20E-16. Payment of Expenses and Fees - The party whose final offer amount is not selected by...
§ 33-20E-17. Referral of Parties for Violations - Following the resolution of arbitration, the Commissioner may refer the...
§ 33-20E-18. Limitation on Litigation When Arbitration Sought - Once a request for arbitration has been filed with the...
§ 33-20E-19. Quarterly Reporting by Resolution Organizations - Each resolution organization contracted with by the department shall report...
§ 33-20E-20. Annual Reporting by Commissioner - On or before July 1, 2022, and each July 1...
§ 33-20E-21. Exclusion From Other Statutory Provisions - The arbitration conducted under this chapter shall be subject to...
§ 33-20E-22. Reporting to Credit Reporting Agencies - No nonparticipating provider shall report to any credit reporting agency...
§ 33-20E-23. Financial Responsibilities for Ground Ambulance Transportation - Nothing in this chapter shall reduce a covered person’s financial...