™Your Policy Risk Impact Agent
116 chapters · 1,704 sections in this title.
RSA 417-F:1 Definitions
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In this chapter: I. "Emergency medical condition" means "emergency medical condition" as defined in RSA 420-J:3, XV. II. "Emergency services" means "emergency services" as defined in RSA 420-J:3, XVI. III. "Insurer" means any entity providing managed care coverage or accident or …
RSA 417-F:2 Claims Processing
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An insurer retrospective review of a claim for reimbursement for emergency services shall include consideration of presenting symptoms, along with final diagnosis, and shall give due consideration to the definitions of emergency medical condition and emergency services in RSA 420…
RSA 417-F:3 Prior Authorization
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I. A participating provider or other authorized representative of the plan that gives prior authorization shall not rescind or modify the authorization after the health care provider has rendered the authorized emergency services care in good faith and the enrollee's, insured's, …
RSA 417-F:4 Reimbursement for Emergency Room Boarding
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Following the completion of an involuntary admission certificate for a patient meeting the criteria under RSA 135-C:27 and not rescinded under RSA 135-C:29-a, the insurer shall pay the acute care hospital a per diem day rate required to board and care for the patient, to be contr…
