20-2320. Exchange of information
A. By January 1, 1995, but no sooner than twelve months after approval of a form by the American national standards institute, an accountable health plan shall receive twenty-five per cent of its claim submissions from providers by electronic means in a form approved by the American national standards institute. By January 1, 1997, but no sooner than thirty-six months after approval of a form by the American national standards institute, an accountable health plan shall receive fifty per cent of its claim submissions by electronic means.
B. By January 1, 1995, but no sooner than twelve months after approval of a form by the American national standards institute, an accountable health plan shall remit twenty-five per cent of its claim payments to providers by electronic means in a form approved by the American national standards institute. By January 1, 1997, but no sooner than thirty-six months after approval of a form by the American national standards institute, an accountable health plan shall remit fifty per cent of its claim payments by electronic means.
C. By January 1, 1995, but no sooner than twelve months after approval of a form by the American national standards institute, an accountable health plan shall conduct twenty-five per cent of its eligibility verification transactions with providers by electronic means in a form approved by the American national standards institute. By January 1, 1997, but no sooner than thirty-six months after approval of a form by the American national standards institute, an accountable health plan shall conduct fifty per cent of its eligibility verifications by electronic means.
D. The percentage requirements under this section shall be determined based on the numerical volume rather than on the monetary volume of claims.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal plans you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with easy access to affordable legal services through a network of independent law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our network law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your network law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal plans, and access to the LegalFix networks of law firms are subject to the LegalFix Terms of Service and Privacy Policy.