Louisiana Revised Statutes 22:1020.3 – A. A health insurance issuer shall conduct an ongoing review of the issuer’s provider directory and correct or update the information as necessary. Except as provided in Subsections
Terms Used In Louisiana Revised Statutes 22:1020.3
- 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
- provider: means a health care professional or a health care facility. See Louisiana Revised Statutes 22:1019.1
A. A health insurance issuer shall conduct an ongoing review of the issuer’s provider directory and correct or update the information as necessary. Except as provided in Subsections B and C of this Section, corrections and updates, if any, shall be made not less than once every twenty business days.
B. The health insurance issuer shall update the directory to list a healthcare provider not later than ten business days after the effective date of the provider’s credentialing with the health insurance issuer.
C. The health insurance issuer shall update the directory to remove a healthcare provider not later than ten business days after the effective date of the termination of the provider’s credentialing with the health insurance issuer.
Acts 2018, No. 290, §1, eff. Jan. 1, 2019.