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Section 206 - Provider agreements -- Record keeping.

UT Code § 31A-8a-206 (2019) (N/A)
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(1) A health discount program operator may not place any restrictions on an enrollee's access to health care providers such as waiting periods or notification periods.

(2) A health discount program operator may not reimburse health care providers for services rendered to an enrollee, unless the health discount program operator is a licensed third party administrator.

(3) (a) A health discount program operator shall have a written agreement with a health care provider who agrees to provide discounts to health discount program enrollees. (b) If the written agreement is with a provider network, the health discount plan shall require the provider network to have written agreements with each of its health care providers.

(a) A health discount program operator shall have a written agreement with a health care provider who agrees to provide discounts to health discount program enrollees.

(b) If the written agreement is with a provider network, the health discount plan shall require the provider network to have written agreements with each of its health care providers.

(4) The health discount program operator shall maintain a copy of each active health care provider agreement.

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