Section .0200 ‑ Contracts Between Network Plan Carriers And Healthcare Providers

Link to law: http://reports.oah.state.nc.us/ncac/title 11 - insurance/chapter 20 - managed care health benefit plans/11 ncac 20 .0201.html
Published: 2015

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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;

58-67-140; 58-67-150;

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.