La. Admin. Code tit. 48 § V-3711
Current through Register Vol. 50, No. 11, November 20, 2024
Section V-3711 - InsuranceA. An insurance company that the responsible party alleges has issued a policy or contract covering the charges for treatment and services rendered shall be billed the full cost of services rendered. Billings shall be made directly to the insurer by the heath unit after securing execution of the forms necessary, including an assignment of benefits to the health unit by the responsible person. The responsible party shall be billed in accordance with the applicable fee schedule up to the amount of charges not covered and paid by insurance. If the responsible person refuses to execute the forms necessary to assign the benefits under the policy alleged by her to cover the charges for services rendered and the forms necessary to file an insurance claim in accordance with the policy, that responsible party shall be billed according to the charges outlined in the class assigned her based on her income and family size as provided in Table I.La. Admin. Code tit. 48, § V-3711
Promulgated by the Department of Health and Human Resources, Office of Preventive and Public Health Services, LR 13:246 (April 1987).AUTHORITY NOTE: Promulgated in accordance with 42 USC 300, 42 CFR Subpart A, Part 59.