Terms Used In Louisiana Revised Statutes 22:1020.2

  • Health insurance issuer: means an entity subject to the insurance laws and regulations of this state, or subject to the jurisdiction of the commissioner, that contracts or offers to contract, or enters into an agreement to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services, including a sickness and accident insurance company, a health maintenance organization, a preferred provider organization or any similar entity, or any other entity providing a plan of health insurance or health benefits. See Louisiana Revised Statutes 22:1019.1
  • network: means an entity, including a health insurance issuer, that, through contracts or agreements with health care providers, provides or arranges for access by groups of covered persons to health care services by health care providers who are not otherwise or individually contracted directly with a health insurance issuer. See Louisiana Revised Statutes 22:1019.1
  • provider: means a health care professional or a health care facility. See Louisiana Revised Statutes 22:1019.1

            A. A health insurance issuer shall maintain a directory of the issuer’s network of providers on the internet.

            B. The directory shall include the name, specialty, if any, street address, and telephone number of each healthcare provider and indicate whether the provider is accepting new patients.

            C. The directory shall be all of the following:

            (1) Electronically searchable by healthcare provider name, specialty, if any, and location.

            (2) Publicly accessible without necessity of providing a password, a user name, or personally identifiable information.

            Acts 2018, No. 290, §1, eff. Jan. 1, 2019.