§ 33-20E-20. Annual Reporting by Commissioner
On or before July 1, 2022, and each July 1 thereafter, the Commissioner shall provide a written report to the House Committee on Insurance and the Senate Insurance and Labor Committee, or their successor committees, and shall post the report on the department’s website summarizing the number of arbitrations filed, settled, arbitrated, defaulted, and dismissed […]
§ 33-20E-21. Exclusion From Other Statutory Provisions
The arbitration conducted under this chapter shall be subject to neither Chapter 13 of Title 50, the “Georgia Administrative Procedure Act,” nor Chapter 11 of Title 9, the “Georgia Civil Practice Act.” History. Code 1981, § 33-20E-21 , enacted by Ga. L. 2020, p. 210, § 1/HB 888.
§ 33-20E-22. Reporting to Credit Reporting Agencies
No nonparticipating provider shall report to any credit reporting agency any covered person who receives a surprise bill for the receipt of healthcare services from such provider and does not pay such provider any copay, coinsurance, deductible, or other cost-sharing amount beyond what such covered person would pay if such nonparticipating provider had been a […]
§ 33-20E-23. Financial Responsibilities for Ground Ambulance Transportation
Nothing in this chapter shall reduce a covered person’s financial responsibilities with regard to ground ambulance transportation. History. Code 1981, § 33-20E-23 , enacted by Ga. L. 2020, p. 210, § 1/HB 888.
§ 33-20E-15. Proposed Payment Amounts
Each party shall submit one proposed payment amount to the arbitrator. The arbitrator shall pick one of the two amounts submitted and shall reveal that amount in the arbitrator’s final decision. The arbitrator may not modify such selected amount. In making such a decision, the arbitrator shall consider the complexity and circumstances of each case, […]
§ 33-20E-16. Payment of Expenses and Fees
The party whose final offer amount is not selected by the arbitrator shall pay the amount of the verdict, the arbitrator’s expenses and fees, and any other fees assessed by the resolution organization, directly to such resolution organization. In the event of default, the defaulting party shall also pay such moneys due directly to such […]
§ 33-20E-17. Referral of Parties for Violations
Following the resolution of arbitration, the Commissioner may refer the decision of the arbitrator to the appropriate state agency or the governing entity with governing authority over such provider or facility if the Commissioner concludes that a provider or facility has either displayed a pattern of acting in violation of this chapter or has failed […]
§ 33-20E-18. Limitation on Litigation When Arbitration Sought
Once a request for arbitration has been filed with the Commissioner by a provider or facility under this chapter, neither such provider nor such facility nor the insurer in such dispute shall file a lawsuit in court regarding the same out-of-network claim. History. Code 1981, § 33-20E-18 , enacted by Ga. L. 2020, p. 210, […]
§ 33-20E-19. Quarterly Reporting by Resolution Organizations
Each resolution organization contracted with by the department shall report to the department on a quarterly basis the results of all disputes referred to such organization as follows: the number of arbitrations filed, settled, arbitrated, defaulted, or dismissed during the previous calendar year and whether the arbitrators’ decisions were in favor of the insurer or […]
§ 33-20E-4. Payment for Emergency Medical Services
An insurer that provides any benefits to covered persons with respect to emergency medical services shall pay for such emergency medical services regardless of whether the healthcare provider or facility furnishing emergency medical services is a participating provider or facility with respect to emergency medical services, in accordance with this chapter: Without need for any […]