Louisiana Revised Statutes 22:1020.4 – A. A health insurance issuer shall conspicuously display in the issuer’s provider directory an email address, a toll-free telephone number, or another mechanism that is easily access
Terms Used In Louisiana Revised Statutes 22:1020.4
- 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
- Person: means an individual, a corporation, a partnership, an association, a joint venture, a joint stock company, a trust, an unincorporated organization, any similar entity, or any combination thereof. 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 conspicuously display in the issuer’s provider directory an email address, a toll-free telephone number, or another mechanism that is easily accessible to any individual by which the individual may report any inaccuracy in the directory.
B. If the health insurance issuer receives a report from any person that specifically identified directory information may be inaccurate, the issuer shall investigate the report and correct the information, as necessary, in accordance with the following schedule:
(1) Not later than the second business day after the date the report is received if the report concerns the health insurance issuer’s representation of the network participation status of a healthcare provider.
(2) Not later than the fifth business day after the date the report is received if the report concerns any other type of information in the directory.
Acts 2018, No. 290, §1, eff. Jan. 1, 2019.