33-2-2304. Independent dispute resolution. (1) If an insurer or health plan and air ambulance service enter into dispute resolution, the procedure in 33-2-2305 is to be used to determine the fair market price of the services that are the subject of the claim.
(2) Payment of the fair market price calculated pursuant to 33-2-2305 constitutes payment in full of the claim.
(3) A determination under this section is not binding on the insurer or health plan and the air ambulance service.
(4) Unless otherwise agreed to by the parties, each party shall:
(a) bear its own attorney fees and costs incurred under the procedure provided in 33-2-2305; and
(b) equally bear all fees and costs of the independent reviewer.
(5) As used in this section, "fair market price" means the value of the services provided as determined by the independent reviewer based on the factors provided in 33-2-2305(6).
History: En. Sec. 4, Ch. 231, L. 2017.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 2. Regulation of Insurance Companies
Part 23. Air Ambulance Providers and Insurers
33-2-2301. Legislative findings and purpose
33-2-2303. Disclosures by air ambulance service
33-2-2304. Independent dispute resolution
33-2-2305. Independent dispute resolution procedure -- exemptions
33-2-2306. Insurance commissioner duties -- independent reviewer qualifications