Rules and Regulations

Rules and Regulations. (a) The Insurance Commissioner may adopt rules, regulations, and penalties as necessary to implement this chapter. (b) When adopting rules under this section the Commissioner: (1) Shall consult with national and state organizations involved with the standardized exchange of health data, and the electronic exchange of health data, to develop the standards for the use and electronic exchange of uniform: (i) claim forms; and (ii) billing and claim codes; (iii) insurance eligibility and coverage information; and (iv) coordination of benefits information; (2) Shall meet federal mandatory minimum standards following the adoption of national requirements for transaction and data elements in the federal Health Insurance Portability and Accountability Act; and (3) May not require an insurer or administrator to use a specific software product or vendor. Source: PL 20-88 § 2(106) (Feb. 8, 2019), modified. Commission Comment: In codifying PL 20-88, the Commission numbered the section and renumbered (b)(1)(a)−(d) to (b)(1)(i)−(iv) pursuant to 1 CMC § 3806(a), (g), and also deleted “and” at the end of (b)(1)(iv) pursuant to 1 CMC § 3806(g).