PRIA, Government Policy, Made Personal

In the event of a dispute between a nonparticipating provider or nonparticipating emergency facility and a health carrier relative to the fair value of emergency health care items or services with respect to which balance billing is prohibited under RSA 358-T:2 or in the event of a dispute between a nonparticipating provider and a health carrier relative to the fair value of health care items or services with respect to which balance billing is prohibited under RSA 358-T:3, the insurance commissioner shall make available, as provided in RSA 420-J:8-e, an independent dispute resolution process to determine the fair value payment amount.