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Current as of January 01, 2024 | Updated by Findlaw Staff
1. A preferred provider arrangement may not include restrictions on methods of payment from the dental insurer or third-party payor vendor to the dental provider in which the only acceptable payment method is a credit card payment.
2. If initiating or changing payments to a dental provider using electronic funds transfer payments, including virtual credit card payments, a dental insurer or the contracted vendor shall:
a. Notify the dental provider if any fees are associated with a particular payment method;
b. Advise the dental provider of the available methods of payment and provide clear instructions to the dental provider as to how to select an alternative payment method that does not impose fees or similar charges on the provider; and
c. Notify the dental provider if the dental insurer is sharing a part of the profit of the fee charged by the credit card company to pay the claim.
3. A dental provider or a contracted vendor, which initiates or changes payments to a dental provider through the automated clearinghouse network, under title 45, Code of Federal Regulations, sections 162.1601 and 162.1602, may not charge a fee solely to transmit the payment to a dental provider unless the dental provider has consented to the fee. A dental provider's agent may charge reasonable fees if transmitting an automated clearinghouse network payment related to transaction management, data management, portal services, and other value-added services in addition to the bank transmittal.
4. As used in this section, “dental insurer” and “dental provider” have the same meaning as in section 26.1-36.9-01.
Cite this article: FindLaw.com - North Dakota Century Code Title 26.1. Insurance § 26.1-47-02.4. Method of dental payment option - last updated January 01, 2024 | https://codes.findlaw.com/nd/title-26-1-insurance/nd-cent-code-sect-26-1-47-02-4/
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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