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§ 33-51-5. Nonpreferred provider reimbursement

GA Code § 33-51-5 (2018) (N/A)
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(1) Unfairly deny health benefits for medically necessary covered services;

(2) Have differences in benefit levels payable to preferred providers compared to other providers that unfairly deny benefits for covered services;

(3) Have a plan coinsurance percentage applicable to benefit levels for services provided by nonpreferred providers that is less than 60 percent of the benefit levels under the policy for such services; or

(4) Have an adverse effect on the availability or the quality of services.

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§ 33-51-4. Programs not considered unfair trade practice
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§ 33-51-6. Incentives for preferred providers