a claim submitted to the department for payment may not be denied legal effect, enforceability, or admissibility as evidence in any court in any civil action because it is in electronic form; and
Terms Used In Utah Code 26B-3-1024
Claim: means :
(a)
a request or demand for payment; or
(b)
a cause of action for money or damages arising under any law. See Utah Code 26B-3-1001
Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
Recipient: means :
(a)
an individual who has applied for or received medical assistance from the state;
(b)
the guardian, conservator, or other personal representative of an individual under Subsection (11)(a) if the individual is a minor or an incapacitated person; or
(c)
the estate and survivors of an individual under Subsection (11)(a), if the individual is deceased. See Utah Code 26B-3-1001
Third party: includes :
(a)
an individual, institution, corporation, public or private agency, trust, estate, insurance carrier, employee welfare benefit plan, health maintenance organization, health service organization, preferred provider organization, governmental program such as Medicare, CHAMPUS, and workers' compensation, which may be obligated to pay all or part of the medical costs of injury, disease, or disability of a recipient, unless any of these are excluded by department rule; and
(b)
a spouse or a parent who:
(i)
may be obligated to pay all or part of the medical costs of a recipient under law or by court or administrative order; or
(ii)
has been ordered to maintain health, dental, or accident and health insurance to cover medical expenses of a spouse or dependent child by court or administrative order. See Utah Code 26B-3-1001
(2)
a third party shall accept an electronic record of payments by the department for medical services on behalf of a recipient as evidence in support of the department’s claim.
Renumbered and Amended by Chapter 306, 2023 General Session
