29 U.S. Code § 1185 (a,b,f)
September 10, 2025 10:45 pm(a) (1) In general A group health plan, and a health insurance issuer offering group health insurance coverage, may not—... View more
(a) (1) In general A group health plan, and a health insurance issuer offering group health insurance coverage, may not—... View more
(a) Under regulations prescribed under section 3903 of this title, the head of an agency acquiring property or service from... View more
(a) Managed care plans shall permit enrollees direct access to obstetrical and gynecological services for maternity and gynecological care, including... View more
(1) If the enrollee is admitted to a hospital or other health care facility, the emergency health care provider shall... View more
(a) Under regulations prescribed under section 3903 of this title, the head of an agency acquiring property or service from... View more
(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an insured,... View more
(6) If a health insurer determines that it has made an overpayment to a provider for services rendered to an... View more
(2) A provider that denies or contests a health insurer’s claim for overpayment or any portion of a claim shall... View more
(b) If a determination has been made that an emergency medical condition exists and the subscriber has notified the hospital, or... View more
(c) If the subscriber’s primary care physician responds to the notification, the hospital physician and the primary care physician may... View more