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Pennsylvania Statutes Title 40 P.S. Insurance § 3042. Reimbursement

Current as of January 01, 2025 | Updated by Findlaw Staff

(a) Requirement.--An insurer shall reimburse an insured or provider for medically necessary services that are provided in a hospital emergency facility due to a medical emergency.

(b) Information.--A hospital emergency facility shall provide to an insurer, with any claim for reimbursement of services, information on the presenting symptoms of the insured as well as the services provided.

(c) Factors considered.--An insurer shall consider both the presenting symptoms and the services provided in processing a claim for reimbursement of emergency services.

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Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 3042. Reimbursement - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-3042/

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