Bill Summary for H 666 (2011-2012)
|View NCGA Bill Details||2011-2012 Session|
TO AMEND THE INSURANCE LAWS IN ORDER TO FACILITATE THE USE OF LOCUM TENENS PHYSICIANS TO ENSURE NORTH CAROLINA'S MEDICAL PROFESSIONALS ARE CAPABLE OF SERVING THE STATE'S EXPANDING POPULATION.Intro. by Justice, Hollo.
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Enacts new GS 58-3-231, requiring an insurer that provides a health benefit plan and that credentials providers to establish and maintain a process to allow a patient’s regular physician to submit a claim and, if accepted, receive payment for covered visits provided by a locum tenens physician, provided seven requirements are met. Defines locum tenens physician as a physician who is not an employee of the regular physician, but substitutes for the physician on a temporary basis. Includes definitions for additional terms used in the statute. Permits a medical group or hospital to submit claims for a locum tenens physician substituting for a regular physician who is a member of the medical group or an employee of the hospital, provided the seven requirements are met. Specifies that per diem or similar fee-for-time compensation paid for the locum tenens physician is considered paid by the regular physician. Sets forth additional criteria for billing, substituting for a regular physician, and locum tenens agencies. Directs insurers to establish the claim and payment process within 180 days after the act becomes effective. Effective October 1, 2011.