Title 26 — Title 26 — Insurance Code
56 chapters · 1,242 sections in this title.
W.S. § 26-40-101 Scope
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Scope. This chapter applies to all insurers who solicit or offer for sale in this state individual, group disability or blanket disability policies covering Wyoming residents.
W.S. § 26-40-102 (a) Definitions
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(a) Definitions. As used in this chapter: (i) "Health care provider" means any physician, hospital or other person licensed or otherwise authorized in this or another state to furnish to any individual medical or dental care, vision care or hospitalization incident to the furnish…
W.S. § 26-40-103 Payment of claims
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Payment of claims. (a) If any disability insurance policy provides for settlement of a claim for payment of medical services or procedures provided by a health care provider using a usual, customary and reasonable basis the insurer shall: (i) Submit to the department upon request…
W.S. § 26-40-104 Prohibitions
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Prohibitions. (a) No person may make payment on a claim for benefits under an individual, group or blanket disability policy covering residents of this state unless such claim payment is made in compliance with this chapter. (b) Any person who violates any provisions of this chap…
W.S. § 26-40-201 Payment of claims under medical necessity standard; review
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Payment of claims under medical necessity standard; review. (a) As used in this section, "medical necessity or other similar basis" includes, but is not limited to, "medically necessary," "medically necessary care" and "medically necessary and appropriate," as defined in W.S. 26-…