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Current as of January 01, 2023 | Updated by FindLaw Staff
1. For purposes of this section, the following terms shall mean:
(1) “Contractual payment amount” or “payment amount”, shall mean the total amount a health care provider is to be paid for providing a given health care service pursuant to a contract with a health carrier, and includes both the portions to be paid by the patient and by the health carrier. It is commonly referred to as the allowable amount;
(2) “Enrollee”, shall have the same meaning ascribed to it in section 376.1350;
(3) “Health care provider”, shall have the same meaning ascribed to it in section 376.1350;
(4) “Health care service”, shall have the same meaning ascribed to it in section 376.1350;
(5) “Health carrier”, shall have the same meaning ascribed to it in section 376.1350.
2. No provision in a contract in existence or entered into, amended, or renewed on or after August 28, 2016, between a health carrier and a health care provider shall be enforceable if such contractual provision prohibits, conditions, or in any way restricts any party to such contract from disclosing to an enrollee, or such person's parent or legal guardian, the contractual payment amount for a health care service if such payment amount is less than the health care provider's usual charge for the health care service, and if such contractual provision prevents the determination of the potential out-of-pocket cost for the health care service by the enrollee, parent, or legal guardian.
Cite this article: FindLaw.com - Missouri Revised Statutes Title XXIV. Business and Financial Institutions § 376.2020. Contracts prohibiting disclosure of certain payments and costs are unenforceable - last updated January 01, 2023 | https://codes.findlaw.com/mo/title-xxiv-business-and-financial-institutions/mo-rev-st-376-2020/
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 or via Westlaw before relying on it for your legal needs.
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