™Your Policy Risk Impact Agent
102 chapters · 792 sections in this title.
RSA 358-T:1 Definitions
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In this chapter: I. "Covered benefits" means "covered benefits" as defined in RSA 420-J:3. II. "Covered person" means "covered person" as defined in RSA 420-J:3. III. "Emergency medical condition" means "emergency medical condition" as defined in RSA 420-J:3. IV. "Emergency servi…
RSA 358-T:2 Balance Billing in Cases of Emergency Services
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If a covered person with benefits covering emergency services under a health benefit plan is furnished emergency services, then: I. In the case that the hospital emergency department or independent freestanding emergency department is a nonparticipating emergency facility, the ho…
RSA 358-T:3 Balance Billing in Cases of Non-emergency Services Performed by Nonparticipating Providers at Certain Participating Health Care Facilities
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I. Subject to paragraph II, if a covered person is furnished health care items or services, other than emergency services, by a nonparticipating provider at a participating facility for which benefits are provided under the covered person's health benefit plan, then such provider…
RSA 358-T:4 Dispute Resolution Regarding the Fair Value of Health Care Items or Services
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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…
