RSA 420-J:8-e Determining the Fair Value of Certain Health Care Items or Services Provided by Nonparticipating Providers.

Title: XXXVII - INSURANCE Chapter: 420-J - MANAGED CARE LAW

Nonparticipating providers or emergency facilities and health carriers shall have access to a state-based independent dispute resolution (IDR) process for determining the fair value of certain health care items or services as follows:
I. Determination through open negotiation.
(a) With respect to an item or service furnished by a nonparticipating provider or nonparticipating emergency facility to which the prohibition on balance billing in RSA 358-T applies and for which a payment is required to be made by the health carrier under RSA 420-J:8-g or under RSA 420-J:8-h, the provider, facility or health carrier may, during the 30-day period beginning on the day the provider or facility receives an initial payment or a notice of denial of payment from the health carrier rega

Log in to read the full statute text and search all NH RSAs.

Read Full Statute