SECTION .0200 ‑ CONTRACTS BETWEEN NETWORK PLAN CARRIERS
AND HEALTHCARE PROVIDERS
11 NCAC 20 .0201 WRITTEN CONTRACTS
(a) All contracts between network plan carriers and health
care providers and between network plan carriers and intermediary organizations
offering networks of health care providers to be used by network plan carriers
for the provision of care on a preferred or in-network basis shall be in
writing and shall comply with 11 NCAC 20 .0202 as a condition of such health
care providers' and networks' being listed in the carrier's provider directory.
(b) The form of every contract under Paragraph (a) of this
Rule shall be filed with the Division for approval according to these Rules
before it is used.
(c) As used in this Section and in Section .0600 of this
Chapter, "Division" means the Life and Health Division of the
Department of Insurance.
History Note: Authority G.S. 58-2-40(1); 58-50-50;
58-50-55; 58-65-25; 58-65-140; 58-67-10; 58-67-20; 58-67-35; 58-67-65;
Eff. October 1, 1996;
Amended Eff. July 1, 2006;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. December 16, 2014.