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Current as of January 01, 2023 | Updated by Findlaw Staff
A. Notwithstanding any state or federal provisions to the contrary, a contracted dentist licensed to practice dentistry by the board may offer a discount for dental care services rendered to an uninsured individual. Any such discount granted by a contracted dentist to an uninsured individual shall not reduce the contracted reimbursement amount between a dentist and a health or dental insurance issuer for dental care services rendered to the issuer's enrollees, insureds, and subscribers.
B. For the purposes of this Section:
(1) “Contracted dentist” means a dentist licensed to practice dentistry by the board who has executed a direct, specific contract with a health insurance issuer.
(2) “Contracted reimbursement amount” means the quantity of remuneration a health or dental insurance issuer has agreed to pay a dentist for rendering dental care services in a direct, specific agreement between a dentist and a health or dental insurance issuer.
(3) “Enrollee”, “insured”, or “subscriber” means an individual who is enrolled or insured by a health or dental insurance issuer or who is subscribed to a dental service contractor for dental insurance coverage or prepaid dental services.
(4) “Health or dental insurance issuer” means any entity that offers health or dental insurance coverage through a policy, contract, dental benefit plan, or certificate of insurance subject to state law that regulates the business of insurance. For purposes of this Section, a “health or dental insurance issuer” shall include but not be limited to a dental service contractor as defined and certified pursuant to Subpart G of Part III of Chapter 4 of Title 22 of the Louisiana Revised Statutes of 1950 1.
Cite this article: FindLaw.com - Louisiana Revised Statutes Tit. 37, § 771.1. Dentist fees; discount to an uninsured individual; effect on a dentist's contracted reimbursement amount - last updated January 01, 2023 | https://codes.findlaw.com/la/revised-statutes/la-rev-stat-tit-37-sect-771-1/
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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