Dismissal or arbitration requests

The Commissioner shall dismiss certain requests for arbitration if the disputed claim is: (1) Related to a healthcare plan that is not regulated by the state; (2) The basis for an action pending in state or federal court at the time of the request for arbitration; 852 33-20E-12 (3) Subject to a binding claims resolution process entered into prior to July 1, 2021; (4) Made against a healthcare plan subject to the exclusive jurisdiction of the Employee Retirement Income Security Act of 1974, 29 U.S.C. Sec. 1001, et seq.; or (5) In accord with other circumstances as may be determined by department rule. History. — Code 1981, § 33-20E-10, enacted by Ga. L. 2020, p. 210, § 1/HB 888. 33-20E-11. Submission to Commissioner by insurer of data pending arbitration. Within 30 days of the insurer’s receipt of the provider’s or facility’s request for arbitration, the insurer shall submit to the Commissioner all data necessary for the Commissioner to determine whether such insurer’s payment to such provider or facility was in compliance with Code Section 33-20E-4 or 33-20E-5. The Commissioner shall not be required to make such a determination prior to referring the dispute to a resolution organization for arbitration. History. — Code 1981, § 33-20E-11, enacted by Ga. L. 2020, p. 210, § 1/HB 888. 33-20E-12. Regulation; contracting with resolution organizations.