Senate Bill 877 has been filed by Senator Clodfelter requiring that contracts between health plans and physicians contain certain provisions. Key provisions of the bill include: (1) requiring contracts to contain important physician protections found in NC law, (2) contracts shall specify termination and amendment provisions, (3) “authorization vendors” and “rental networks” must be listed, (4) EOBs must contain elements such that the patient will clearly understand his/her financial responsibility (5) A summary disclosure form must be made available. The specific requirements were developed by the NC Medical Group Managers, who worked on the concepts behind the legislation during 2008 and surveyed its members to establish priorities.
Health Plan Provider Contract Bill
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