GA Code §33-20A-7.1(b)
October 15, 2021 5:47 am(b) When an enrollee, provider, facility, or home health care provider obtains precertification for any covered health care service, the... View more
(b) When an enrollee, provider, facility, or home health care provider obtains precertification for any covered health care service, the... View more
Every health benefits plan of every health maintenance organization shall include provisions that: (1) In the event a patient seeks... View more
(b) Every health benefit policy that provides maternity benefits that is delivered, issued, executed, or renewed in this state or... View more
(b)(1) All benefits under a health benefit plan will be payable by the insurer or administrator which is obligated to... View more
(c) Each insurer or administrator shall pay to the facility or health care provider claiming payments under the health benefit... View more
(a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services... View more
(a) A health care service plan shall not deny payment of a claim on the basis that the plan, medical... View more
(c)(3) An “unfair payment pattern,” as used in this section, means any of the following: (3) Failing on a repeated basis... View more
(b) A health care service plan, or its contracting medical providers, shall reimburse providers for emergency services and care provided... View more
If there is a disagreement between the health care service plan and the provider regarding the need for necessary medical... View more