Section 58-17K-3 - Cost-sharing information disclosed-Required internet method and formatThe cost-sharing information to be provided under this chapter shall be made available without a subscription or other fee through a self-service tool on a website that provides real-time responses based on cost-sharing information that is accurate at the time of request. A health insurer shall ensure the self-service tool allows enrollees to:
(1) Search for cost-sharing information for a covered item or service by an in-network provider by inputting: (a) A billing code or a descriptive term;(b) The name of an in-network provider; and(c) Other factors utilized by the health insurer that are relevant for determining the applicable cost-sharing information;(2) Search for an out-of-network allowed amount, percentage of billed charges, or other rate for a covered item or service by an out-of-network provider by inputting: (a) A billing code or a descriptive term; and(b) Other factors utilized by the health insurer that are relevant for determining the applicable out-of-network allowed amount or other rate; and(3) Refine and reorder search results based on geographic proximity of in-network providers and the amount of the enrollee's estimated cost-sharing liability.Added by S.L. 2021, ch. 213,s. 3, eff. 7/1/2021.