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Current as of March 28, 2024 | Updated by Findlaw Staff
(a)(1) The minimum allowable reimbursement rate under any health benefit plan issued by a healthcare insurer to a participating ground ambulance service provider or an out-of-network ground ambulance service provider shall be at the rates approved or contracted between an ambulance service provider and a local government entity as provided for in § 14-266-105.
(2) In the absence of rates set as provided under subdivision (a)(1) of this section, the minimum allowable rate of reimbursement under a health benefit plan issued by a healthcare insurer shall be the lesser of:
(A) The rate established by the Workers’ Compensation Commission under its medical fee schedule for ambulance services; or
(B) The provider's billed charges.
(b) A payment made under this section shall be considered payment in full for the covered services provided, except for any copayment, coinsurance, deductible, and other cost-sharing feature amounts required to be paid by the enrollee.
(c)(1) A healthcare insurer shall remit payment within thirty (30) days for ambulance services directly to the ground ambulance service provider.
(2) A healthcare insurer shall not send payment to an enrollee.
Cite this article: FindLaw.com - Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-1802. Minimum allowable reimbursement for ground ambulance services - last updated March 28, 2024 | https://codes.findlaw.com/ar/title-23-public-utilities-and-regulated-industries/ar-code-sect-23-99-1802/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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